Myopericarditis and Pericardial Effusion as the Initial Presentation of Systemic Lupus Erythematosus

Myopericarditis with a pericardial effusion as the initial presenting feature of SLE is uncommon. We report an unusual case of myopericarditis and pericardial effusion with subsequent heart failure, as the initial manifestation of SLE. The timely recognition and early steroid administration are imperative in SLE-related myopericarditis with cardiomyopathy to prevent the mortality associated with this condition.

[1]  N. Lugito,et al.  Heart Involvement in Systemic Lupus Erythematosus , 2018, Medicinus.

[2]  Iraj Salehi-Abari,et al.  2015 ACR/SLICC Revised Criteria for Diagnosis of Systemic Lupus Erythematosus , 2015 .

[3]  A. Regueiro,et al.  Myopericarditis and severe myocardial dysfunction as the initial manifestation of systemic lupus erythematosus , 2012, European heart journal. Acute cardiovascular care.

[4]  W. Marsden I and J , 2012 .

[5]  J. Veinot Endomyocardial biopsy--when and how? , 2011, Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology.

[6]  Matthias Gutberlet,et al.  Cardiovascular Magnetic Resonance in Myocarditis: A JACC White Paper , 2009 .

[7]  S. Mochizuki,et al.  Pericarditis causing congestive heart failure as an initial manifestation of systemic lupus erythematosus. , 2007, International journal of cardiology.

[8]  Y. Shoenfeld,et al.  Anti-phospholipid Syndrome , 2022 .

[9]  P. Woodard,et al.  Cardiac magnetic resonance imaging abnormalities in systemic lupus erythematosus: a preliminary report , 2005, Lupus.

[10]  T. Miller,et al.  Cardiac involvement in systemic lupus erythematosus. , 1999, Mayo Clinic proceedings.

[11]  Y. Shoenfeld,et al.  Marked Improvement of Severe Cardiac Dysfunction After One Course of Intravenous Immunoglobulin in a Patient with Systemic Lupus Erythematosus , 1999, Clinical Rheumatology.

[12]  T. Kveder,et al.  Possible association between anti-Ro antibodies and myocarditis or cardiac conduction defects in adults with systemic lupus erythematosus. , 1990, Annals of the rheumatic diseases.

[13]  M. Nicholls,et al.  Cardiac involvement in systemic lupus erythematosus detected by echocardiography. , 1990, The American journal of cardiology.