title: Pericarditis causing congestive heart failure as an initial manifestation of systemic lupus erythematosus.
abstract: 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.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Inoue
authors.forename: Ryuko
authors.initials: R
authors.lastname: Anzawa
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Terao
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Tsurusaki
authors.forename: Akimasa
authors.initials: A
authors.lastname: Matsuyama
authors.forename: Mamoru
authors.initials: M
authors.lastname: Kunoh
authors.forename: Satoshi
authors.initials: S
authors.lastname: Imamoto
authors.forename: Tokuo
authors.initials: T
authors.lastname: Kasai
authors.forename: Chikashi
authors.initials: C
authors.lastname: Satoh
authors.forename: Shingo
authors.initials: S
authors.lastname: Seki
authors.forename: Seibu
authors.initials: S
authors.lastname: Mochizuki
mesh_terms: 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*