title: Systemic lupus erythematosus initially manifesting as acute pericarditis complicating with cardiac tamponade : a case report.
abstract: A 23-year-old woman was admitted with progressive shortness of breath. Echocardiography showed a large volume of pericardial effusion, which indicated cardiac tamponade. Yellowish and puriform fluid with increased white blood cell count (neutrophil dominant) was aspirated, but antibiotics were ineffective. Further examination revealed the presence of positive anti ds-DNA antibody, anti SS-A antibody and anti Sm antibody, resulting in a diagnosis of systemic lupus erythematosus. Her condition was smoothly improved by predonisolone administration. Cardiac tamponade is a rare initial manifestation of systemic lupus erythematosus.
authors.affiliation: Cardiac Department of Internal Medicine, Jichi-Medical School Hospital, Tochigi. shimitetsu@jichi.ac.jp
authors.forename: Tetsuichiro
authors.initials: T
authors.lastname: Shimizu
authors.forename: Mitsunobu
authors.initials: M
authors.lastname: Murata
authors.forename: Hidenori
authors.initials: H
authors.lastname: Tomizawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Mitsuhashi
authors.forename: Takaaki
authors.initials: T
authors.lastname: Katsuki
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Shimada
mesh_terms: D000208:Acute Disease; D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D010490:Pericardial Effusion / Q000000981:diagnostic imaging; D020519:Pericardiocentesis; D010493:Pericarditis / Q000209:etiology*