Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report
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 hospitali...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Colegio Mexicano de Inmunología Clínica y Alergia, A.C.
2019-04-01
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| Series: | Revista Alergia México |
| Subjects: | |
| Online Access: | http://revistaalergia.mx/ojs/index.php/ram/article/view/528 |
| _version_ | 1797728729411092480 |
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| author | Vilma Gerardo-Morales Eduardo Llausás-Magaña Angel Rito León-Ramírez Juan Manuel Carreón-Guerrero José Quibrera Giordano Pérez-Gaxiola Miguel García-Dominguez |
| author_facet | Vilma Gerardo-Morales Eduardo Llausás-Magaña Angel Rito León-Ramírez Juan Manuel Carreón-Guerrero José Quibrera Giordano Pérez-Gaxiola Miguel García-Dominguez |
| author_sort | Vilma Gerardo-Morales |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T11:18:14Z |
| format | Article |
| id | doaj.art-f471b08663b54127a9ea9c41419e4e90 |
| institution | Directory Open Access Journal |
| issn | 0002-5151 2448-9190 |
| language | English |
| last_indexed | 2024-03-12T11:18:14Z |
| publishDate | 2019-04-01 |
| publisher | Colegio Mexicano de Inmunología Clínica y Alergia, A.C. |
| record_format | Article |
| series | Revista Alergia México |
| spelling | doaj.art-f471b08663b54127a9ea9c41419e4e902023-09-02T01:46:04ZengColegio Mexicano de Inmunología Clínica y Alergia, A.C.Revista Alergia México0002-51512448-91902019-04-0166113213910.29262/ram.v66i1.528398Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case reportVilma Gerardo-Morales0Eduardo Llausás-Magaña1Angel Rito León-Ramírez2Juan Manuel Carreón-Guerrero3José Quibrera4Giordano Pérez-Gaxiola5Miguel García-Dominguez6Hospital Pediátrico de Sinaloa, Departamento de Pediatría Médica, Culiacán, SinaloaHospital Pediátrico de Sinaloa, Departamento de Infectología, Culiacán, SinaloaHospital Pediatrico de SinaloaHospital Pediátrico de Sinaloa, Departamento de Infectología, Culiacán, SinaloazHospital Pediátrico de Sinaloa, Departamento de Cardiología, Culiacán, SinaloaHospital Pediátrico de Sinaloa, Cochrane México, Culiacán, SinaloaHospital Pediátrico de Sinaloa, Departamento de Inmunología y Alergia, Culiacán, SinaloaBackground: 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.http://revistaalergia.mx/ojs/index.php/ram/article/view/528pericarditisderrame pericárdicolupus eritematoso sistémicopediatría |
| spellingShingle | Vilma Gerardo-Morales Eduardo Llausás-Magaña Angel Rito León-Ramírez Juan Manuel Carreón-Guerrero José Quibrera Giordano Pérez-Gaxiola Miguel García-Dominguez Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report Revista Alergia México pericarditis derrame pericárdico lupus eritematoso sistémico pediatría |
| title | Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report |
| title_full | Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report |
| title_fullStr | Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report |
| title_full_unstemmed | Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report |
| title_short | Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report |
| title_sort | pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus case report |
| topic | pericarditis derrame pericárdico lupus eritematoso sistémico pediatría |
| url | http://revistaalergia.mx/ojs/index.php/ram/article/view/528 |
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