Acometimento cardíaco precoce no lupus eritematoso sistêmico
Palavras-chave:
lupus eritematoso sistemico, pericardite estafilococica, tamponamento cardiaco, janela pericardicaResumo
O acometimento cardíaco no Lupus Eritematoso Sistêmico ocorre em cerca de 15% a 50% dos pacientes. A pericardite é a manifestação mais frequente. O tamponamento cardíaco é extremamente raro, principalmente como manifestação inicial da doença. Nesta pesquisa é descrito o caso de uma mulher jovem que apresentou como manifestação inicial do Lupus Eritematoso Sistêmico, tamponamento cardíaco, tendo sido tratada com altas doses de corticosteróides, necessitando ainda de pericardiocentese e instalação de janela pericárdica.
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Referências
Dubois EL, Tuffanelli DL. Clinicai manifestations of systemic lupus erythematosus: Computer analysis of 520 cases. JAMA 1964; 190: 104.
Quismorio FP. Clinicai and laboratory features of systemic lupus Erythematosus. ln: Wallace DJ, Hahn BH, editors. Dubois'Lupus Erythematosus. 5th ed. Baltimore Williams & Wilkins; 1997. Section Vl:653-71.
Bahl BK, Vasan RS, Aradhye S, et ai. Prevalence of cardiac abnormalities early in the course of systemic lupus erythematosus. Am J Cardiol 1991; 68: 1540-41.
Crozier IG, Li E, Milne MJ. et ai. Cardiac envolvement in systemic lupus erythematosus detected by echocardiography. Am J cardiol 1990; 65 1145-48.Ehrenfeld M, Asman A, Shpilberg O, et ai. Cardiac tamponade as the presenting manifestation of systemic lupus erythematosus. Am J Med 1989; 86 626-27.
Doherty NE, Siegel RJ. Cardiovascular manifestations of systemic lupus erythematosus. Am Heart J 1985; 110:1257-65.Kong TQ, Kellum RE, Haserich JR. Clinicai diagnosis of cardiac involvement in systemic lupus erythematosus: a correlation of clinicai and authopsy findings in thirty patients. Circulation 1962; 26:7.
Sella EMC, Nunes DS, Sato EI. Manifestações cardiovasculares no lupus eritematoso sistêmico. Rev Bras Reumatol 1999; 39:161-68.
Bidani AK, Roberts JL, Schwartz MM, et ai. lmmunopathology of cardiac lesions in fatal systemic lupus erythematosus Am J Med 1980; 69:849-58.
Kahl LE. The spectrum of pericardial tamponade in systermic lupus erythematosus. Arthritis Rheum 1992; 35:1343-49.
Kelly TA. Cardiac tamponade in systemic lupus erythematosus: an usual initial manifestation. South Med J 1987; 80:514-16.
Omdal R, Dickstein K, Von Brandis C. Cardiac tamponade in systemic lupus erythematosus. Scand J Rheumatol 1988; 1 :55-7.
Shearn M. The heart in systemic lupus erithematosus. Am Heart J 1959; 58:452-66.
Singh S, Wann LS, Klopfenstein HS, et ai. Usefulness of right ventricular diastolic collapse in diagnosing cardiac tamponade and comparison to pulsus paradoxus. Am J Cardiol 1986; 57:652-56.
Reiner JS, Furie RA. Cardiac tamponade as na initial manifestation of systemic lupus erythematosus. J Rheumatol 1989; 16: 1127-29.
Zashin SJ, Lipsky PE. Pericardial tamponade complicating Systemic Lupus Erythematosus. J Rheumatol 1989; 16:374-77.
Dorlon RE, Smith JM, Cook EH, et ai. Staphylococcal pericardial effusion with tamponade in a patient with systemic lupus erythematosus. J Rheumatol 1982; 9:813-14.
Berbis N, Allen J, Dubois E. Le risque de la pericardicentese dans le lupus erythemateux dissemine: A propos d'uncas et revue de la literature Revue du (in French). Rhusmatisme 1977; 44:359.
Rosner S, Ginzler EM, Diamond HS, et ai. A multicenter study of outcome in systemic lupus erythematosus. li. Causes of death. Arthritis Rheum 1982; 25:612.
