Korean J Med.
2010 May;78(5):635-639.
Cardiac tamponade in a patient with lupus nephritis
- Affiliations
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- 1Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. minogiya@naver.com
- 2Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
- 3Department of Pathology, Chungbuk National University College of Medicine, Cheongju, Korea.
Abstract
- Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that involves many different organ systems, and this illness exhibits a wide spectrum of clinical manifestations. The renal involvement in SLE is called lupus nephritis and 50~80% of patients with SLE suffer from lupus nephritis. Although pericarditis or pericardial effusion is a common cardiac manifestation of SLE, cardiac tamponade is rare. Cardiac tamponade may be fatal if it is not recognized quickly and treated promptly. We report a case of cardiac tamponade associated with lupus nephritis. Treatment consisted of pericardiocentesis and high-dose corticosteroid.