1. Pericarditis constrictiva como presentación grave e infrecuente de lupus eritematoso sistémico: reporte de un caso y revisión de la literatura
- Author
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Ximena Cid, Pablo Florenzano, Nicole Lustig, Luis Manuel Sanhueza, Demian A Fullerton, Germán Ramos, and Natalie Thone
- Subjects
Constrictive pericarditis ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,General Medicine ,Pericarditis, constrictive ,medicine.disease ,Chest pain ,Surgery ,Cardiac surgery ,Lupus erythematosus, systemic ,Thoracic surgery ,Fibrosis ,Cardiothoracic surgery ,Biopsy ,medicine ,medicine.symptom ,business ,Pericardiectomy ,Cardiac catheterization - Abstract
Constrictive Pericarditis (CP) is an unusual disease. Its most common causes are idiopathic or secondary to cardiac surgery. Less frequently it is caused by connective tissue diseases. We report a 30 years old woman hospitalized due to progressive dyspnea, chest pain and signs of right sided heart failure. During her stay, a Systemic Lupus Erythematosus (SLE) was diagnosed. The echocardiogram suggested a CP and the diagnosis was confirmed by cardiac catheterization. Pericardiectomy was successfully performed. The biopsy confirmed a nonspecific chronic pericarditis, with extensive fibrosis and absence of caseating granulomas. The patient had a satisfactory recovery.
- Published
- 2014