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Triple Valvulopathy and Jaccoud's Arthropathy: A Case Report and Literature Review

Ali Naderi Mahabadi1, Bassam Alhaddad2, Stanley Ballou2

  • 1Department of Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

Case Reports in Rheumatology
|July 20, 2016
PubMed

Insights

Systemic lupus erythematosus (SLE) can affect the heart valves, leading to rare cases of severe valvulitis. This case highlights a fatal outcome despite multiple valve replacements due to aggressive SLE.

Area of Science:

  • Cardiology
  • Rheumatology
  • Immunology

Background:

  • Cardiac involvement is a known complication of systemic lupus erythematosus (SLE).
  • Lupus can affect the heart's layers, coronary arteries, and valves.

Purpose of the Study:

  • To report an extremely rare case of lupus valvulitis and dysfunction.
  • To discuss the implications of aggressive disease presentation and treatment challenges.

Main Methods:

  • Case report presentation.
  • Review of clinical course and management.

Main Results:

  • The patient presented with severe valvulitis and valvular dysfunction due to SLE.
  • Three mechanical prosthetic valve replacements were necessitated by the disease.
  • Disease recurrence occurred, leading to a fatal outcome.

Conclusions:

  • Lupus valvulitis can have an aggressive natural history.
  • Late diagnosis or unsuccessful treatment of SLE may contribute to poor outcomes.
  • This case underscores the critical need for timely SLE management to prevent severe cardiac complications.

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