2019, Number 2
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Rev Cub Med Mil 2019; 48 (2)
Pericardial effusion as a debut form of systemic lupus erythematosus
Vega CR
Language: Spanish
References: 14
Page: 238-244
PDF size: 219.10 Kb.
ABSTRACT
Introduction: Systemic lupus erythematosus has multiple ways of presentation; among cardiac
manifestations, pericardial involvement is frequent, but it is rare that its debut form is the
pericardial effusion.
Objective: To emphasize the importance of early diagnosis of one of the less frequent forms of systemic lupus erythematosus.
Clinical case: We present the case of a 50-year-old patient, who had been admitted for 3 months because of chest pain, dyspnea, cough, joint, dermatological and general symptoms. After the
suspicion and the clinical, hematological, imaging and skin biopsy, pericardial effusion was
diagnosed early due to systemic lupus erythematosus. Timely treatment with steroids was
imposed, and the evolution was favorable.
Conclusions: Despite the low index of suspicion, the systemic lupus erythematosus was taken
into account and the analytical determinations that confirmed the diagnosis were made.
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