title: Association between immunological diseases and their similar clinical manifestations.
abstract: We report on a 30-year-old female patient, with biological mitral valve prosthesis due to symptomatic mitral stenosis and a history of acute myocardial infarction and generalized tonic-clonic seizure episodes, visual hallucinations, cerebral thromboembolic events and, at present, chorea and acute carditis. The patient was diagnosed with active rheumatic fever (RF), systemic lupus erythematosus (SLE) and Antiphospholipid syndrome (APS). The combination of three unusual diagnoses in the same patient makes this a unique case, modifying patient treatment and prognosis.
authors.affiliation: Instituto do Coração Liga de Combate à Febre Reumática, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil. alexandre.soeiro@bol.com.br
authors.forename: Alexandre de Matos
authors.initials: Ade M
authors.lastname: Soeiro
authors.forename: Maria Carolina Feres de
authors.initials: MC
authors.lastname: Almeida
authors.forename: Tarso Augusto Duenhas
authors.initials: TA
authors.lastname: Accorsi
authors.forename: Guilherme Sobreira
authors.initials: GS
authors.lastname: Spina
authors.forename: Carlos Vicente
authors.initials: CV
authors.lastname: Serrano
authors.forename: Flávio
authors.initials: F
authors.lastname: Tarasoutchi
mesh_terms: D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications*; D001705:Bioprosthesis; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008946:Mitral Valve Stenosis / Q000150:complications; D009205:Myocarditis / Q000209:etiology; D012213:Rheumatic Fever / Q000150:complications*