2005, Number S3
<< Back Next >>
Arch Cardiol Mex 2005; 75 (S3)
Hemorrhagic pericarditis and cardiac tamponade in systemic lupus erythematosus. A case report
Barrera-Ramírez CF, Pineda-Pompa LR, Melo M, Valdez CR, Medina-Gómez H, Godina-Alonso G, Guzmán CE
Language: Spanish
References: 22
Page: 96-99
PDF size: 99.25 Kb.
ABSTRACT
Systemic lupus erythematosus is a chronic inflammatory autoimmune disorder that can affect any organ or system. Although pericarditis is the most frequent cardiac manifestation of this entity, usually is not a life threatening situation. Pericardial effusion causing cardiac tamponade is a very rare complication in lupus, with an incidence less than 2%. We report a case of pericardial tamponade due to SLE with severe hemodynamic involvement in a 21-year-old woman associated to rapidly progressive glomerulonephritis, acute pancreatitis, acute acalculous cholecystitis, pleural effusion, hematologic, cutaneous and neurologic lupus activity. Recognition of this rare manifestation of SLE may be life saving.
REFERENCES
Carroll N, Barrett JA: Systemic lupus erythematosus presenting with cardiac tamponade. Br Heart J 1984; 51: 452-3.
Siddiqui MA, Khan IA: Isoniazid-induced lupus erythematosus presenting with cardiac tamponade. Am J Ther 2002; 9: 163-5.
Aylward PE, Tonkin AM, Bune A: Cardiac tamponade in hydrallazine-induced systemic lupus erythematosus. Aust N Z J Med 1982; 12: 546-7.
Rudra T, Evans PA, O’Brien EN: Systemic lupus erythematosus presenting with cardiac tamponade due to a haemorrhagic pericardial effusion. Postgrad Med J 1987; 63: 567-8.
Askari AD: Pericardial tamponade with hemorrhagic fluid in systemic lupus erythematosus. J Am Med Womens Assoc 1978; 33: 111-4.
Mills SA, Julian S, Holliday RH, Vinten-Johansen J, Case LD, Hudspeth AS, et al: Subxiphoid pericardial window for pericardial effusive disease. J Cardiovasc Surg (Torino) 1989; 30: 768-73.
Allen KB, Faber LP, Warren WH, Shaar CJ: Pericardial effusion: subxiphoid pericardiostomy versus percutaneous catheter drainage. Ann Thorac Surg 1999; 67: 437-40.
Little AG, Kremser PC, Wade JL, Levett JM, DeMeester TR, Skinner DB: Operation for diagnosis and treatment of pericardial effusions. Surgery 1984; 96: 738-44.
Moores DW, Allen KB, Faber LP, Dziuban SW, Gillman DJ, Warren WH, et al: Subxiphoid pericardial drainage for pericardial tamponade. J Thorac Cardiovasc Surg 1995; 109: 546-51.
Zashin SJ, Lipsky PE: Pericardial tamponade complicating systemic lupus erythematosus. J Rheumatol 1989; 16: 374-7.
Eisenberg MJ, Muñoz de Romeral L, Heidenreich PA, Schiller PA, Evans T: The diagnosis of pericardial efusión and cardiac tamponade by 12-lead ECG. A technology assessment. Chest 1996; 110: 318-24.
Manresa JM, Gutierrez L, Viedma P, Alfani O: Taponamiento cardíaco como presentación de lupus eritematoso sistémico. Rev Esp Cardiol 1997; 50: 600-2.
Castier MB, Albuquerque EM, Menezes ME, Klumb E, Albanesi Filho FM: Cardiac tamponade in systemic lupus erythematosus. Report of four cases. Arq Bras Cardiol 2000; 75: 446-8.
Bulkley BH, Roberts WC: The heart in systemic lupus erythematosus and the changes induced in it by corticosteroid therapy. A study of 36 necropsy patients. Am J Med 1975; 58: 243-64.
Doherty NE, Siegel RJ: Cardiovascular manifestations of systemic lupus erythematosus. Am Heart J 1985; 110: 1257-65.
Badui E, García-Rubi D, Robles E, Jiménez J, Juan L, Deleze M, et al: Cardiovascular manifestations in systemic lupus erythematosus. Prospective study of 100 patients. Angiology 1985; 36: 431-41.
Barrera-Ramírez CF, Oseguera J: Taponamiento Cardíaco. En: Manual de Urgencias del Instituto Nacional de la Nutrición Salvador Zubirán. México D.F. Ed. McGraw-Hill, 2000.
Cauduro SA, Moder KG, Tsang TS, Seward JB: Clinical and echocardiographic characteristics of hemodynamically significant pericardial effusions in patients with systemic lupus erythematosus. Am J Cardiol 2003; 92: 1370-2.
Kahl LE: The spectrum of pericardial tamponade in systemic lupus erythematosus. Report of ten patients. Arthritis Rheum 1992; 35: 1343-9.
Butman S, Espinoza LR, Del Carpio J, Osterland CK: Rheumatoid pericarditis. Rapid deterioration with evidence of local vasculitis. JAMA 1977; 238: 2394-6.
Badui-Dergal E: El corazón en algunas enfermedades del tejido conectivo. Gac Med Mex 1990; 126: 175-7.
Gobaira Maluf J, Zghaib Abad A, Reyes López PA: El corazón en el lupus eritematoso sistémico. Estudio en 32 pacientes. Arch Inst Cardiol Mex 1982; 52: 223-8.