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Atypical Presentation of Systemic lupus Erythematous,a Case Report
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A Alikhani   , A.R Javan , Kh Ghanbarian |
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Abstract: (4447 Views) |
| Introduction & Objective: Systemic lupus erythematous (SLE) is
a disorder of unknown disease in which tissues and cells are
damaged by pathogenic autoantibodies and immune complexes.
90% of cases are women. One of affected organs is heart and
pericarditis is the most common manifestation of cardiac lupus.
Myocarditis is an unusual presentation . Occasionally lupus
patients present with Fuo. For diagnosis of lupus we need disease
criteria and presence of antibodies in the serum.
Case Report: Patient was a 39 years old women who presented
with fever, chills and generalized abdominal pain from 25 days
before admission. Arthralgia and mild nocturnal dyspnea were
other complaints. Fever and tachycardia with rug tenderness were
found in physical exanimation. Abdominal ulterasound and CT
scan were normal, CXR showed upper limit of normal heart.
Leucopenia was hematological abnormality and echocardiography
suggested myocarditis. 48h after administrating of captopril fever
stopped and systemic symptoms subsided. Serologic study
showed a positive result for SLE
Conclution: Lupus myocarditis may have no significant clinical
symptoms and systemic symptoms respond only to captopril. |
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| Keywords: Systemic lupus erythematous, Myocarditis, F.U.O, Captopril |
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Full-Text [PDF 253 kb]
(2022 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2015/06/13 | Accepted: 2015/06/13 | Published: 2015/06/13
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