Open Access
Subscription Access
Open Access
Subscription Access
Cardiac Tamponade as a Rare Initial Manifestation of Systemic Lupus Erythematosus
Subscribe/Renew Journal
Systemic lupus erythematosus is a collagen disease that frequently involves the cardiovascular system, the pericardium being the most commonly affected site. This involvement is usually pericardial effusion, majority of the time of mild degree. In a few patients, pericardial involvement may be the initial presentation of systemic lupus erythematosus. Cardiac tamponade is a rare clinical manifestation and very few cases are reported as the initial manifestation of the disease. Here, we report a patient with SLE with cardiac tamponade. Our patient presented with subacute presentation. Echocardiography showed large pericardial effusion with features suggestive of cardiac tamponade. Pericardiocentesis was done. The fluid was hemorrhagic in nature. Fluid analysis was suggestive of exudative effusion. Antinuclear antibody, U1-nRNP, nucleosomes, Sm were found to be positive. Oral prednisolone was started and slowly tapered to a maintenance dose. Azathioprine, hydroxychloroquine, torsemide were added. Patient has responded well and is following up in the OPD.
Keywords
SLE-systemic Lupus Erythematosus, CTD– Connective Tissue Disorder, Cardiac Tamponade, Pericardial Effusion.
Subscription
Login to verify subscription
User
Font Size
Information
- Taubenhaus, m., Eisenstein, b., Pick A. Cardiovascular manifestations of collagen diseases. Circulation;1955 Nov; 12: 903.
- Spodick DH. Acute cardiac tamponade. N Engl J Med 2003; 2013:684
- Sovari AA, Moazemi K, Bodine CK. Subacute cardiac tamponade with very large pericardial effusion in a postpartum woman. Heart 2006; 2013:1218.
- Bruch C, Schmermund A, Dagres N, et al. Changes in QRS voltage in cardiac tamponade and pericardial effusion: reversibility after pericardiocentesis and after anti-inflammatory drug treatment. J Am Coll Cardiol 2001; 2013:219–26.
- Mercé J, Sagristà-Sauleda J, Permanyer-Miralda G, et al. Correlation between clinical and Doppler echocardiographic findings in patients with moderate and large pericardial effusion: implications for the diagnosis of cardiac tamponade. Am Heart J 1999; 2013:759.
- Brown J, MacKinnon D, King A, et al. Elevated arterial blood pressure in cardiac tamponade. N Engl J Med 1992; 2013:463.
- Handler J. Hypertensive emergency with cardiac tamponade associated with hypothyroidism. J Clin Hypertension 2007; 2013:67–72.
- Tan EM, Cohen AS, Fries JF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 1982; 2013:1271.
- Hochberg MC. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus [letter]. Arthritis Rheum 1997; 2013:1725.
Abstract Views: 266
PDF Views: 0