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Complete heart block in an adult with systemic lupus erythematosus
E Fonseca1, M Crespo, J A Sobrino
1Department of Dermatology, Hospital La Paz, Madrid, Spain.
Lupus
|April 1, 1994
Abstract:
Report of a case of complete heart block in a patient with systemic lupus erythematosus (SLE). The cardiac disturbance presented as repeated syncopal episodes and normal cardiac clinical and electrocardiographic examination between these episodes. Circulating anti-U1RNP antibodies were detected and tests for anti-SSA/Ro, anti-SSB/La and antiphospholipid antibodies were negative. Evidence of myocarditis was not found. The diagnosis was just established when the patient developed a syncopal episode during hospitalization. Only one SLE case with a similar clinical course has been reported previously.