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Lupus myocarditis presenting as acute congestive heart failure: a case report.

Authors
Woo, SI; Hwang, GS; Kang, SJ; Park, JS; Park, SJ; Lee, YS; Lee, YH; Tahk, SJ
Citation
Journal of Korean medical science, 24(1):176-178, 2009
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
Abstract
A young woman who had a delivery history 3 months previously presented with dyspnea and orthopnea. Initial findings of physical examination, chest radiography, and echocardiogram showed typical congestive heart failure with severe left ventricular (LV) dysfunction. At first, we considered peripartum cardiomyopathy because she had given birth to a baby 3 months previously. However, even though we massively tried conventional drug therapy for 10 days, the patient still remained with refractory heart failure. We performed additional laboratory studies such as complement level and autoantibodies, of which the results supported systemic lupus erythematosus. We could make the diagnosis of acute lupus myocarditis and treated her with corticosteroid. The symptoms were dramatically disappeared and LV function also improved.
MeSH terms
Acute DiseaseAdministration, OralAdultEchocardiographyFemaleGlucocorticoids/administration & dosageHeart Failure/diagnosis*HumansLupus Erythematosus, Systemic/complicationsLupus Erythematosus, Systemic/diagnosis*Lupus Erythematosus, Systemic/radiographyMethylprednisolone/administration & dosageMyocarditis/diagnosis*Myocarditis/etiologyMyocarditis/radiographyPrednisolone/administration & dosage
DOI
10.3346/jkms.2009.24.1.176
PMID
19270836
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Cardiology
AJOU Authors
황, 교승강, 수진박, 진선탁, 승제
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