Systemic lupus erythematosus--a diagnosis in cardiology

Joana Lemos1, Luís Santos, Isabel Martins

  • 1Serviço de Medicina I, Hospital de São Teotónio, E.P.E., Viseu, Portugal. joana.lemos@gmail.com

Insights

Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple organs. A patient presenting with acute pericarditis was diagnosed with SLE, underscoring the importance of considering cardiac involvement in systemic autoimmune conditions.

Area of Science:

  • Rheumatology
  • Cardiology
  • Autoimmune Diseases

Background:

  • Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by inflammation affecting multiple organ systems.
  • Diagnosis of SLE often relies on identifying multiorgan or constitutional symptoms.
  • Medical intervention is frequently delayed until specific organ involvement is clinically apparent, even with pre-existing undiagnosed systemic disease.

Observation:

  • The case study focuses on a patient admitted to a cardiology unit presenting with acute pericarditis.
  • This presentation prompted a diagnostic workup for underlying systemic conditions.

Findings:

  • The patient was diagnosed with systemic lupus erythematosus (SLE).
  • Acute pericarditis was identified as a manifestation of the underlying SLE.

Implications:

  • This case highlights the critical need to consider cardiac involvement, such as pericarditis, in the differential diagnosis of patients with potential systemic autoimmune diseases.
  • Early recognition of SLE manifestations in various organ systems can lead to timely diagnosis and management, potentially preventing severe complications.
  • Integrating rheumatological and cardiological perspectives is essential for comprehensive patient care in complex systemic diseases.

Related Concept Videos

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Assessment of the Cardiovascular System II: Inspection01:29

Assessment of the Cardiovascular System II: Inspection

Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...