Pericarditis constrictiva como presentación grave e infrecuente de lupus eritematoso sistémico: reporte de un caso y revisión de la literatura

• Nicole Lustig ^[1] ; Pablo Florenzano ^[1] ; Luis Manuel Sanhueza ^[2] ; Ximena Cid ^[1] ; Germán Ramos ^[2] ; Natalie Thone ^[1] ; Demian A Fullerton ^[3]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
  2. [2] Hospital Dr. Sótero del Río Servicio de Cardiología
  3. [3] Hospital Dr. Sótero del Río Servicio de Cardiocirugía

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 142, Nº. 8, 2014, págs. 1065-1068
• Idioma: español
• Títulos paralelos:
  • Constrictive pericarditis as a serious and rare presentation of systemic lupus erythematosus: Report of one case
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• Resumen

  • Constrictive Pericarditis (CP) is an unusual disease. Its most common causes are idiopathic or secondary to cardiac surgery. Less frequently it is caused by connective tissue diseases. We report a 30 years old woman hospitalized due to progressive dyspnea, chest pain and signs of right sided heart failure. During her stay, a Systemic Lupus Erythematosus (SLE) was diagnosed. The echocardiogram suggested a CP and the diagnosis was confirmed by cardiac catheterization. Pericardiectomy was successfully performed. The biopsy confirmed a nonspecific chronic pericarditis, with extensive fibrosis and absence of caseating granulomas. The patient had a satisfactory recovery.