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Case Report
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| Recurrent pericarditis as the presenting symptom for diagnosis of systemic lupus erythematosus | ||||||
| Gurneet Matharoo1, William Tyler Whitmire1, Sam Sirotnikov2, Manoj Jagtiani2, Niket Sonpal3 | ||||||
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1American University of Antigua College of Medicine, MS3, Department of Internal Medicine, Kingsbrook Jewish Medical Center, Brooklyn, NY
2Touro College of Osteopathic Medicine, MS3, Department of Internal Medicine, Kingsbrook Jewish Medical Center, Brooklyn, NY 3MD, Teaching faculty at Kingsbrook Jewish Medical Center, Brooklyn, NY | ||||||
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| How to cite this article |
| Matharoo G, Whitmire WT, Sirotnikov S, Jagtiani M, Sonpal N. Recurrent pericarditis as the presenting symptom for diagnosis of systemic lupus erythematosus. Int J Case Rep Images 2017;8(5):305–308. |
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ABSTRACT
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Introduction: Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that affects multiple organs. Common findings at presentation are fatigue, fever, weight loss, arthritis/arthralgias, skin manifestations, and renal pathologies. Herein, we focus on pericarditis as a less frequent although significant sign leading to the diagnosis of SLE. Case Report: A case of an African-American female with pericarditis at the time of diagnosis. The patient was a 28-year-old female who presented to the emergency department complaining of chest pain and shortness of breath. She reported experiencing similar symptoms on two separate occasions prior to this admission. After appropriate workup an ANA panel was ordered on suspicion which revealed pertinent findings such as an ANA titer of 1:1280, anti-DNA(ds) 10 IU/mL, RNP antibodies >8 AI, Smith antibodies 2.2 AI. Conclusion:Diagnosing SLE can be considered challenging, since there are varying degrees of clinical manifestations from patient to patient. The lifetime prevalence of some cardiac manifestation in SLE is estimated to be 50%, and should be high on the differential of any presentation with chest pain or shortness of breath. It is crucial that physicians consider SLE as a diagnosis when new onset pericarditis occurs in African-American females. Keywords: Autoimmune, Criteria, Diagnosis, Pericarditis, Systemic lupus erythematosus (SLE) |
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Author Contributions
Gurneet Matharoo – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published William Tyler Whitmire – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Sam Sirotnikov – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Manoj Jagtiani – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Niket Sonpal – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Gurneet Matharoo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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