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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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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
- Doherty, 1985, Cardiovascular manifestation of systemic lupus erythematosus, Am Heart J, 110, 1257, 10.1016/0002-8703(85)90023-7 · DOI
- Estes, 1971, The natural history of systemic lupus erythematosus by prospective analysis, Medicine, 50, 85, 10.1097/00005792-197103000-00001 · DOI
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Autoimmune Myocarditis, Old Dogs and New Tricks.
Won, T., Song, E. J., Kalinoski, H. M., Moslehi, J. J., & Čiháková, D. (2024) · Circulation Research · doi:10.1161/circresaha.124.323816 · Cited by 51
Metadata
- Authors
- Frustaci, A., Gentiloni, N., & Caldarulo, M.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Frustaci, Andrea
- ORCID
- 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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