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Rev Alerg Mex. 2019 Jan-Mar;66(1):132-139. doi: 10.29262/ram.v66i1.528.

[Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Hospital Pediátrico de Sinaloa, Departamento de Pediatría Médica, Culiacán, Sinaloa, México. vymor90@gmail.com.

Abstract

in English, Spanish

BACKGROUND:

Acute pericarditis is rare in children; it can evolve to effusion or even cardiac tamponade. The main infectious agents are viruses and bacteria. The pharmacological treatment includes NSAIDs; just a few patients need pericardiocentesis.

CLINICAL CASE:

A school-age patient was hospitalized because of chest pain; she was diagnosed with acute pericarditis and pericardial effusion, without any other symptoms. The disease pattern then evolved to dry cough, crushing epigastric abdominal pain, vomiting and fever. Due to a poor response to the initial treatment, immunological studies were requested. She tested positive to antinuclear antibodies (ANA), anti-double stranded DNA, direct Coombs and anticardiolipin antibodies; hypocomplementemia with lymphopenia was detected too, which is an indicative of systematic lupus erythematosus.

CONCLUSIONS:

The torpid evolution or recurrence of pericarditis must direct toward excluding neoplastic or autoimmune bodies. Cardiovascular manifestations rarely appear initially in patients with systemic lupus erythematosus.

KEYWORDS:

Pediatrics; Pericardial effusion; Pericarditis; Systemic lupus erythematosus

PMID:
31013415
DOI:
10.29262/ram.v66i1.528

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