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  • Title: [Cardiac tamponade disclosing systemic lupus erythematosus].
    Author: Nour-Eddine M, Bennis A, Soulami S, Chraibi N.
    Journal: Ann Cardiol Angeiol (Paris); 1996 Feb; 45(2):71-3. PubMed ID: 8734138.
    Abstract:
    Cardiac tamponade secondary to systemic lupus erythematosus is rare and has a very serious prognosis. The authors report a case of cardiac tamponade confirmed by echocardiography, which constituted the presenting sign of systemic lupus erythematosus in a 20-year-old patient, who required emergency pericardial aspiration. The diagnosis of systemic lupus erythematosus was established on the basis of the combination of pericardial involvement, non-erosive arthritis, leukopenia with lymphopenia, presence of LE cells and anti-native DNA antibodies and positive antinuclear antibody titre of 1/2560. The clinical course was favourable in response to 3 months of corticosteroid treatment. The possibility of SLE should be considered in any case of cardiac tamponade in a young patient in which the aetiology is not explained.
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