title: Lupus myocarditis presenting as acute congestive heart failure: a case report.
abstract: A young woman who had a delivery history 3 months previously presented with dyspnea and orthopnea. Initial findings of physical examination, chest radiography, and echocardiogram showed typical congestive heart failure with severe left ventricular (LV) dysfunction. At first, we considered peripartum cardiomyopathy because she had given birth to a baby 3 months previously. However, even though we massively tried conventional drug therapy for 10 days, the patient still remained with refractory heart failure. We performed additional laboratory studies such as complement level and autoantibodies, of which the results supported systemic lupus erythematosus. We could make the diagnosis of acute lupus myocarditis and treated her with corticosteroid. The symptoms were dramatically disappeared and LV function also improved.
authors.affiliation: Department of Cardiology, School of Medicine, Ajou University, Suwon, Korea.
authors.forename: Seong-Ill
authors.initials: SI
authors.lastname: Woo
authors.forename: Gyo-Seung
authors.initials: GS
authors.lastname: Hwang
authors.forename: Soo-Jin
authors.initials: SJ
authors.lastname: Kang
authors.forename: Jin-Sun
authors.initials: JS
authors.lastname: Park
authors.forename: Se-Jun
authors.initials: SJ
authors.lastname: Park
authors.forename: Yoon-Seok
authors.initials: YS
authors.lastname: Lee
authors.forename: Yoo-Hong
authors.initials: YH
authors.lastname: Lee
authors.forename: Seung-Jea
authors.initials: SJ
authors.lastname: Tahk
mesh_terms: D000208:Acute Disease; D000284:Administration, Oral; D000328:Adult; D004452:Echocardiography; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage; D006333:Heart Failure / Q000175:diagnosis*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008775:Methylprednisolone / Q000008:administration & dosage; D009205:Myocarditis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D011239:Prednisolone / Q000008:administration & dosage; D011859:Radiography
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone; D008775:Methylprednisolone