Periaortitis and diffuse subendocardial vasculitis in a patient with systemic lupus erythematosus - Lupus flare or a coexisting disease?
Systemic lupus erythematosus
antiphospholipid syndrome
diffuse subendocardial vasculitis
periaortitis
Journal
Mediterranean journal of rheumatology
ISSN: 2529-198X
Titre abrégé: Mediterr J Rheumatol
Pays: Greece
ID NLM: 101730166
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
31
10
2019
revised:
25
11
2019
accepted:
28
11
2019
entrez:
18
7
2020
pubmed:
18
7
2020
medline:
18
7
2020
Statut:
epublish
Résumé
Systemic lupus erythematosus (SLE) is a heterogeneous disease with a broad spectrum of clinical manifestations. Periaortitis is a rare disorder which may manifest isolated or in association with other autoimmune diseases, including SLE. Another rare, yet severe cardiovascular manifestation of lupus is diffuse subendocardial vasculitis (DSV), which should be suspected in patients presenting with myocardial hypokinesis, impaired ejection fraction and normal coronary angiography. Cardiovascular Magnetic Resonance (CMR) imaging is crucial to distinguish between DSV and lupus myocarditis, which should also be included in the differential diagnosis. Herein, we describe a case of a female patient with pre-existing SLE, who presented with both periaortitis and DSV, and discuss the diagnostic challenges associated with these rare manifestations.
Identifiants
pubmed: 32676560
doi: 10.31138/mjr.31.2.216
pii: mjr-31-2-216
pmc: PMC7362120
doi:
Types de publication
Case Reports
Langues
eng
Pagination
216-219Informations de copyright
© 2020 The Mediterranean Journal of Rheumatology (MJR).
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