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KMID : 0390619930010010139
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Journal of Cardiovascular Ultrasound
1993 Volume.1 No. 1 p.139 ~ p.144
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A Case of Systemic Lupus Erythematosus with Verrucous Endocarditis :
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박진
신완용/김일수/조병수/차성호
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Abstract
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Systemic lupus erythematosus (SLE) may involve all three layers of heart Clinically, most patients with cardiac involvement present pericarditis and pericardial effusion, but myocardial involvement is usually asymptomatic. The endocardial
involvement
frequently demonstrates nonbacterial verrucous vegetation as Libman and Sacks had described. The pathogenetic mechanisms in cardiac injury has been suggested that immune complex deposition with complement activation and subsequent inflammation is
responsible Although the corticosteroid has used as mainstay of treatment in patients with SLE it may have somewhat deterious effect on the heart such as systemic hypertension and left ventricular hypertrophy. Furthermore. congestive heart
failure,
epicardial and myocardial fat deposition and coronary atherosclerosis may accelerated or occured by corticowteroid.
Therfore, the patients with SLE, especially managed with steroid are recommanded followup of serial eletrocardiography, chest X-ray and M-mode and 2-dimensional echocardiography to detect various cardiac involvements. We report a patient with SLE
who
presents pericardial effusion. mitral regurgitation and verrucous vegetation on anterior anterior mitral valve
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KEYWORD
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