Cited by 64Systemic Lupus Erythematosus ResearchViral Infections and Immunology ResearchCardiac tumors and thrombi

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Acute Myocarditis and Left Ventricular Aneurysm as Presentations of Systemic Lupus Erythematosus

Abstract

A case of systemic lupus erythematosus (SLE) associated with fever, heart failure, and left ventricular (LV) aneurysm is reported. A diagnosis of SLE was suspected owing to the presence of active lymphocytic myocarditis and fibrinous endocarditis at LV endomyocardial biopsy and was confirmed by identification of 4 of the 11 criteria proposed by the American Rheumatism Association for the definition of SLE. A 2-month period of steroid therapy was followed by a remarkable recovery of LV function and progression of endomyocarditis to a healed phase at control LV biopsy. The LV aneurysm disappeared, likely because thrombosis occurred as a result of the hypercoagulable state accompanying the presence of anticardiolipin antibodies. This is the first reported case of LV aneurysm induced by SLE and is a rare clinicohistologic documentation of the effectiveness of steroid treatment on lupus endomyocarditis.

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Crossref · 10.1378/chest.109.1.282

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  • Systemic sclerosis and systemic lupus erythematosus have been linked to virus-negative lymphocytic myocarditis.

    “Autoimmune conditions such as systemic sclerosis and systemic lupus erythematosus have been linked to virus-negative lymphocytic myocarditis.”

    From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [154]

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Research works printed but not linked: 12

  1. Doherty, 1985, Cardiovascular manifestation of systemic lupus erythematosus, Am Heart J, 110, 1257, 10.1016/0002-8703(85)90023-7 · DOI
  2. Estes, 1971, The natural history of systemic lupus erythematosus by prospective analysis, Medicine, 50, 85, 10.1097/00005792-197103000-00001 · DOI
  3. Mandell, 1987, Cardiovascular involvement in systemic lupus erythematosus, Semin Arthritis Rheum, 17, 126, 10.1016/0049-0172(87)90035-7 · DOI
  4. Sandrasegaran, 1992, Sub-clinical systemic lupus erythematosus presenting with acute myocarditis, Postgrad Med J, 68, 475, 10.1136/pgmj.68.800.475 · DOI
  5. Bonfiglio, 1972, Coronary arteritis, occlusion, and myocardial infarction due to lupus erythematosus, Am Heart J, 83, 153, 10.1016/0002-8703(72)90133-0 · DOI
  6. Cheitlin, 1975, Myocardial infarction without atherosclerosis, JAMA, 231, 951, 10.1001/jama.1975.03240210031015 · DOI
  7. Hejmancik, 1964, The cardiovascular manifestations of systemic lupus erythematosus, Am Heart J, 68, 119, 10.1016/0002-8703(64)90248-0 · DOI
  8. Oliveira, 1981, Apical aneurysms of Chagas's heart disease, Br Heart J, 46, 432, 10.1136/hrt.46.4.432 · DOI
  9. Goudevenous, 1990, Coxsackie B4 viral myocarditis causing ventricular aneurysm, Int J Cardiol, 27, 122, 10.1016/0167-5273(90)90200-O · DOI
  10. Frustaci, 1992, Localized left ventricular aneurysm with normal global function caused by myocarditis, Am J Cardiol, 70, 1221, 10.1016/0002-9149(92)90064-6 · DOI
  11. Sasson, 1992, Impairment of left ventricular diastolic function in systemic lupus erythematosus, Am J Cardiol, 69, 1629, 10.1016/0002-9149(92)90715-B · DOI
  12. Tan, 1982, The 1982 revised criteria for the classification of systemic lupus erythematosus, Arthritis Rheum, 25, 1271, 10.1002/art.1780251101 · DOI · Paper page

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Metadata

Authors
Frustaci, A., Gentiloni, N., & Caldarulo, M.
Affiliations
Università Cattolica del Sacro Cuore (IT)
Corresponding author
Frustaci, Andrea
Venue
Chest
Publisher
Elsevier BV
Published
1996-01
Volume
109
Issue
1
Pages
282-284
ISSN
0012-3692 (ISSN-L)
OpenAlex
W2005117019
Cited by
64
References
0
Citations by year
2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 2
FWCI
1.45
Type
journal article
Language
en
Open access
closed
Locations
  • CHEST Journal (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
  • Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac tumors and thrombi
Keywords
systemic lupus erythematosus, left ventricular aneurysm, myocarditis, endomyocarditis, heart failure, corticosteroid therapy, anticardiolipin antibodies, hypercoagulability, thrombosis, endomyocardial biopsy, American College of Rheumatology criteria
MeSH terms
Acute Disease, Adult, Anti-Inflammatory Agents, Cardiac Output, Low, Diuretics, Endocarditis, Fever, Furosemide, Heart Aneurysm, Heart Ventricles, Humans, Lupus Erythematosus, Systemic, Male, Myocarditis, Prednisone, Spironolactone

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