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Immunomodulation in antiphospholipid-antibody-associated endocarditis: a case report and review of the literature.


ABSTRACT:

Background

Non-infectious endocarditis is a rare complication in patients with systemic lupus erythematosus or antiphospholipid syndrome (APS). The mitral valve is mainly affected, usually showing vegetations on the ventricular and atrial side of the valve.

Case summary

A 27-year-old female patient with a known APS was referred to our hospital with night sweats, weight loss, reduction in performance, and dizziness. A floating structure associated to the mitral valve was identified in a transoesophageal echocardiogram with typical changes, in accordance with a non-infectious endocarditis (Libman-Sacks). Only a trace of mitral regurgitation was present and a mass on the posterior mitral valve leaflet. Laboratory findings showed antibody and inflammatory marker measurements eit

SUBMITTER: Haertel F 

PROVIDER: S-EPMC8728721 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature