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伴有先天性房室传导阻滞和心肌炎的新生儿狼疮。

Neonatal lupus with congenital atrioventricular block and myocarditis.

作者信息

Bharati S, Swerdlow M A, Vitullo D, Chiemmongkoltip P, Lev M

机构信息

Department of Pathology, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015.

出版信息

Pacing Clin Electrophysiol. 1987 Sep;10(5):1058-70. doi: 10.1111/j.1540-8159.1987.tb06125.x.

DOI:10.1111/j.1540-8159.1987.tb06125.x
PMID:2444930
Abstract

This is a case of a child with neonatal lupus and congenital atrioventricular (AV) block, born to a mother with asymptomatic, systemic lupus erythematosus (SLE). The child, despite pacemaker insertion, died of septicemia and myocarditis at the age of three months. Although the association of neonatal lupus with congenital AV block is well-recognized, there are only few pathologic studies of the conduction system reported in the literature. This is such a study in which we emphasize that, due to an altered immune system in the child, septicemia may be the cause of death in some cases.

摘要

这是一例患有新生儿狼疮和先天性房室传导阻滞的患儿病例,其母亲患有无症状系统性红斑狼疮(SLE)。该患儿尽管植入了起搏器,但仍在三个月大时死于败血症和心肌炎。虽然新生儿狼疮与先天性房室传导阻滞的关联已得到充分认识,但文献中报道的关于传导系统的病理研究却很少。本研究强调,由于患儿免疫系统改变,败血症在某些情况下可能是导致死亡的原因。

相似文献

1
Neonatal lupus with congenital atrioventricular block and myocarditis.伴有先天性房室传导阻滞和心肌炎的新生儿狼疮。
Pacing Clin Electrophysiol. 1987 Sep;10(5):1058-70. doi: 10.1111/j.1540-8159.1987.tb06125.x.
2
An autopsy case of congenital complete heart block in a newly born of a mother with systemic lupus erythematosus.一名患有系统性红斑狼疮的母亲所生新生儿先天性完全性心脏传导阻滞的尸检病例。
Pediatr Cardiol. 1988;9(3):157-61. doi: 10.1007/BF02080557.
3
[Congenital complete atrioventricular block in neonatal lupus erythematosus].新生儿红斑狼疮中的先天性完全性房室传导阻滞
Tijdschr Kindergeneeskd. 1993 Oct;61(5):178-82.
4
[Congenital heart block in a newborn infant born to a mother with lupus erythematosus].
An Esp Pediatr. 1983 Jun;18(6):510-4.
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[Congenital complete AV block in SS-A and SS-B antibody positive collagenosis of the mother].[母亲抗SS - A和抗SS - B抗体阳性的胶原病中的先天性完全性房室传导阻滞]
Pathologe. 1992 Sep;13(5):276-9.
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Neonatal congenital heart block.新生儿先天性心脏传导阻滞。
Indian Pediatr. 2013 May 8;50(5):483-8. doi: 10.1007/s13312-013-0156-3.
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[Neonatal lupus syndrome. Association with complete congenital atrioventricular block].[新生儿狼疮综合征。与完全性先天性房室传导阻滞的关联]
Ugeskr Laeger. 1998 Apr 20;160(17):2521-5.
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Cardiac manifestations of systemic lupus erythematosus.系统性红斑狼疮的心脏表现。
Rheum Dis Clin North Am. 2014 Feb;40(1):51-60. doi: 10.1016/j.rdc.2013.10.003.
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Association of maternal systemic lupus erythematosus with congenital complete heart block.
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Congenital heart block and associated cardiac pathology in neonatal lupus syndrome.
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引用本文的文献

1
Anatomical and pathological findings in hearts from fetuses and infants with cardiac manifestations of neonatal lupus.新生儿狼疮心脏表现胎儿和婴儿心脏的解剖和病理发现。
Rheumatology (Oxford). 2012 Jun;51(6):1086-92. doi: 10.1093/rheumatology/ker515. Epub 2012 Feb 3.
2
Atrial and ventricular rate response and patterns of heart rate acceleration during maternal-fetal terbutaline treatment of fetal complete heart block.在母婴使用特布他林治疗胎儿完全性心脏传导阻滞期间的心房和心室率反应以及心率加速模式。
Am J Cardiol. 2007 Aug 15;100(4):661-5. doi: 10.1016/j.amjcard.2007.03.081. Epub 2007 Jun 26.
3
Successful implantation of a bipolar epicardial lead and an autocapture pacemaker in a low-body-weight infant with congenital atrioventricular block: report of a case.
在一名低体重先天性房室传导阻滞婴儿中成功植入双极心外膜导线和自动捕获起搏器:病例报告
Surg Today. 2000;30(6):555-7. doi: 10.1007/s005950070128.
4
Humoral immune response to cardiac conducting tissue.对心脏传导组织的体液免疫反应。
Springer Semin Immunopathol. 1989;11(4):409-22. doi: 10.1007/BF00201879.