title: Isolated tricuspid valve Libman-Sacks endocarditis and valvular stenosis: unusual manifestations of systemic lupus erythematosus.
abstract: The most common valves involved in systemic lupus erythematosus are the mitral and aortic valves. Although isolated tricuspid valve involvement is quite rare, the authors report such a case. A 42-year-old woman presented with exertional dyspnea and was found to have a cardiac murmur. Echocardiography showed a stenotic tricuspid valve with vegetations on all 3 cusps. No other valvular vegetation could be detected. Concomitant tricuspid regurgitation was noted too. Blood culture results were negative. Clinical findings and serologic tests confirmed the diagnosis of systemic lupus erythematosus. The patient was successfully treated with prednisolone and hydroxychloroquine, and follow-up echocardiography showed the disappearance of the vegetations.
authors.affiliation: Department of Medicine (Cardiology), Namazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Ali Reza
authors.initials: AR
authors.lastname: Moaref
authors.forename: Sasan
authors.initials: S
authors.lastname: Afifi
authors.forename: Sheema
authors.initials: S
authors.lastname: Rezaian
authors.forename: Gholam Reza
authors.initials: GR
authors.lastname: Rezaian
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000134:cerebrospinal fluid* / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D014264:Tricuspid Valve Stenosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D014463:Ultrasonography
chemical_list: D000893:Anti-Inflammatory Agents