title: [Fatal myocardial lesion in systemic lupus erythematosus].
abstract: The authors present the case of a 47-year old female patient. She suffered from a moderate activity SLE for two years. The outcome of SLE was changed by an ulcer because of leg injury, which was repeatedly infected. Severe polyarthritis, leucopenia, thrombocytopenia, clinical signs of vasculitis and in the last two months fever, high ESR, and pericarditis appeared. The angina pectoris, the cardiac decompensation, the electrocardiogram, the echocardiogram was suspect to diffuse myocardial lesion. Cardiac decompensation caused the death of the patient. Besides the activation of her autoimmune disease, infection was suspect in the patient taken immunosuppressive and steroid drugs, though it could not be verified. Autopsy verified besides the recent necrosis of heart without reaction, and multifocal myocardial abscess, which appeared possible in the terminal phase.
authors.affiliation: Országos Reumatológiai és Fizioterápiás Intézet, Budapest.
authors.forename: B
authors.initials: B
authors.lastname: Rojkovich
authors.forename: G
authors.initials: G
authors.lastname: Kiss
authors.forename: M
authors.initials: M
authors.lastname: Bély
authors.forename: Z
authors.initials: Z
authors.lastname: Balogh
authors.forename: L
authors.initials: L
authors.lastname: Hodinka
mesh_terms: D000038:Abscess / Q000209:etiology / Q000473:pathology; D001996:Bronchopneumonia / Q000000981:diagnostic imaging / Q000209:etiology; D009202:Cardiomyopathies / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000276:immunology / Q000473:pathology; D008875:Middle Aged; D009205:Myocarditis / Q000209:etiology* / Q000473:pathology; D009336:Necrosis / Q000473:pathology; D013902:Radiography, Thoracic
vernacular_title: Halálos myocardialis elváltozás systemás lupus erythematodesben.