Key result
Systemic lupus erythematosus can initially manifest as pleuropericarditis and severe myocardial dysfunction, representing an unusual first presentation of the disease.
Highlights that severe myocardial dysfunction and pleuropericarditis can rarely serve as the initial presentation of systemic lupus erythematosus.
SLE may rarely debut with pleuropericarditis and myocardial dysfunction; hypothesis-generating for atypical cardiac presentations in young females.
Pericarditis is the most frequent cardiac manifestation of systemic lupus erythematosus (SLE). However, a large pericardial effusion as the initial manifestation of the disease is infrequent, especially when it is associated with myocardial damage. We describe an unusual case of a young female with pleuropericarditis and severe myocardial dysfunction as the initial manifestation of SLE.
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Sáez‐Peñataro et al. (2012) studied this question. Systemic lupus erythematosus can initially manifest as pleuropericarditis and severe myocardial dysfunction, representing an unusual first presentation of the disease.
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