Pericardial effusion as the initial presentation of systemic lupus erythematosus –a case report
Journal Title: Medicine in Evolution - Year 2017, Vol 0, Issue 4
Abstract
Systemic lupus erythematosus (SLE) is an autoimmune disease that can involve nearly any organ system resulting in a great diversity in presentation. Pericardial effusion as the initial form of presentation in SLE is rare. We present the case of a 19-year-old -female who presented with complaints of shortness of breath, non-productive cough, visual disturbances, asthenia, arthralgia and fever over the past 2 months. On admission, the patient was febrile, had a heart rate of 145 beats/min, a respiratory rate of 42 breaths/min and the physical examination revealed muffled heart sounds, decreased breath sounds at the left lung base, mouth sores and conjunctival hyperemia. Investigations suggested large cardiac and minimal pleural effusion. After a thorough investigation, the diagnosis of SLE was confirmed using the Systemic Lupus International Collaborating Clinics (SLICC) criteria and the therapy with methylprednisolone was initiated. Our case report aims to emphasize the importance of SLE as a differential diagnosis when presented with pericarditis.
Authors and Affiliations
Dănilă M. , Crăciun-Ciorba N. , Pintea Şimon I.
Keywords
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