Key result
In a 15-year-old female with systemic lupus erythematosus, a first-degree atrioventricular block completely resolved within 3 days of initiating corticosteroid therapy.
Why the study?
Does corticosteroid therapy resolve first-degree atrioventricular block in a patient with systemic lupus erythematosus?
Case Report (n=1)
No
Does corticosteroid therapy resolve first-degree atrioventricular block in a patient with systemic lupus erythematosus?
First-degree atrioventricular block is a rare manifestation of systemic lupus erythematosus that can be successfully reversed with corticosteroid therapy.
Rapid AV block resolution after steroids in one SLE case; single observation leaves open causality and need for controlled data.
Cardiac involvement is very common in Systemic Lupus Erythematosus (SLE), and some 30%-50% of patients suffer from some form of heart disease. Conduction defects represent a rare manifestation of SLE cardiac involvement in adults. We reported a rare case of first-degree atrioventricular block associated with SLE in a 15-year-old female. The patient was diagnosed with SLE, fulfilling the 1982 American College of Rheumatology (ACR) criteria, with malar rash, pericarditis, lymphopenia, thrombocytopenia and the presence of anti-DNA antibodies with positive ANA. The first-degree atrioventricular block was attributed to SLE and completely resolved within 3 days of corticosteroid therapy.
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Bahloul et al. (2018) conducted a case report in Systemic Lupus Erythematosus with first-degree atrioventricular block (n=1). Corticosteroid therapy was evaluated on Resolution of first-degree atrioventricular block. In a 15-year-old female with systemic lupus erythematosus, a first-degree atrioventricular block completely resolved within 3 days of initiating corticosteroid therapy.
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