Gryman R, Bourgeois P, Puissant D, Valère P E, Guérot C, Kahn M F
Ann Med Interne (Paris). 1987;138(2):105-8.
A 30 year old man presenting with a 10 year history of delayed pressure urticaria had a secondary lupus-induced double mitral and aortic regurgitation which necessitated double valve replacement within 2 years. The anatomical appearances of the valvular lesions were very unusual and suggest a new anatomo-clinical form of the classical Libman-Sacks endocarditis. In addition to infective endocarditis, systemic lupus erythematosus may also lead to valvular lesions necessitating valve replacement. The association of S.L.E. and delayed urticaria is rare, and also merits publication.
一名患有迟发性压力性荨麻疹10年的30岁男性出现继发性狼疮性二尖瓣和主动脉瓣反流，这使得他在2年内需要进行双瓣膜置换。瓣膜病变的解剖学表现非常不寻常，提示经典的Libman-Sacks心内膜炎有新的解剖临床形式。除感染性心内膜炎外，系统性红斑狼疮也可能导致需要进行瓣膜置换的瓣膜病变。系统性红斑狼疮与迟发性荨麻疹的关联罕见，也值得发表。
