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Systemic lupus erythematosus presenting with cardiac tamponade due to a haemorrhagic pericardial effusion
T Rudra1, P A Evans, E N O'Brien
1Department of Medicine, Enfield District Hospital, Southgate, London, UK.
Postgraduate Medical Journal
|July 1, 1987
Insights
A 14-year-old girl experienced cardiac tamponade from a hemorrhagic pericardial effusion, diagnosed as systemic lupus erythematosus. Recurrent effusions despite treatment led to pericardial stripping surgery.
Area of Science:
- Cardiology
- Rheumatology
- Internal Medicine
Background:
- Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that can affect multiple organ systems.
- Pericardial effusion is a known complication of SLE, potentially leading to cardiac tamponade.
Observation:
- A 14-year-old female presented with symptoms of cardiac tamponade.
- Diagnostic workup revealed a hemorrhagic pericardial effusion.
Findings:
- The patient was diagnosed with systemic lupus erythematosus (SLE).
- Despite pericardiocentesis and initial steroid therapy, the pericardial effusion recurred.
- Surgical pericardial stripping was ultimately required due to refractory effusion.
Implications:
- This case highlights the potential for severe cardiac complications in adolescent SLE patients.
- Refractory pericardial effusions in SLE may necessitate aggressive surgical intervention.
- Early recognition and management of SLE-related cardiac manifestations are crucial for patient outcomes.
Abstract:
A 14 year old girl presented with cardiac tamponade due to a haemorrhagic pericardial effusion. Systemic lupus erythematosus was diagnosed. Pericardial stripping was performed due to recurrence of the effusion despite pericardiocentesis and steroid therapy.