Pericarditis causing congestive heart failure as an initial manifestation of systemic lupus erythematosus.
Pericarditis is a common complication in systemic lupus erythematosus (SLE) patients, however, that causing congestive heart failure (CHF) is a rare initial manifestation of SLE. We treated a patient whose initial manifestation of SLE was pericardial effusion causing CHF, which improved following prednisolone therapy that led to a dramatic decrease in pericardial effusion and improvement in left ventricular diastolic dysfunction as shown in Doppler echocardiography findings. Further, the plasma brain natriuretic peptide level became normalized.
Inoue
Yasunori
Y
Anzawa
Ryuko
R
Terao
Yoshio
Y
Tsurusaki
Tetsuji
T
Matsuyama
Akimasa
A
Kunoh
Mamoru
M
Imamoto
Satoshi
S
Kasai
Tokuo
T
Satoh
Chikashi
C
Seki
Shingo
S
Mochizuki
Seibu
S
D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D010493:Pericarditis / Q000150:complications*