Amro Alhareth M, Deeb Salah, Rije Rama, Deeb Nour, Qunaibi Yaman Y, Amr Bajis, Irzeqat Khaled, Alhadad Baha, Emar Ahmad
College of Medicine, Al-Quds University, Hebron, PSE.
College of Medicine, Palestine Polytechnic University, Hebron, PSE.
Cureus. 2024 Jan 25;16(1):e52894. doi: 10.7759/cureus.52894. eCollection 2024 Jan.
Systemic lupus erythematosus (SLE) is a chronic inflammatory disease that can affect the heart, lungs, and other organs. We describe the case of a 36-year-old female patient who first presented with non-specific symptoms before receiving a diagnosis of SLE, along with initial evidence of pleural effusion and cardiac tamponade. Heart tamponade, which is characterized by fluid accumulation in the pericardial space, is an unusual but serious side effect of SLE. Pleural effusion, or an accumulation of fluid in the pleural cavity, is a typical hallmark of SLE; however, it rarely manifests as the disease's initial symptom. The early identification and diagnosis of these cardiovascular symptoms of SLE is critical for timely intervention and improved patient outcomes. This case report highlights the significance of considering SLE when performing a differential diagnosis for patients who have cardiovascular symptoms, particularly when pleural effusion and cardiac tamponade are present. To increase awareness and knowledge of these uncommon presentations of SLE, more investigations and comprehension of the underlying pathophysiology are required.
系统性红斑狼疮（SLE）是一种慢性炎症性疾病，可累及心脏、肺和其他器官。我们描述了一名36岁女性患者的病例，该患者在被诊断为SLE之前最初出现非特异性症状，同时伴有胸腔积液和心脏压塞的初步证据。心脏压塞的特征是心包腔内积液，是SLE一种不常见但严重的副作用。胸腔积液，即胸腔内液体的积聚，是SLE的典型特征；然而，它很少表现为该疾病的初始症状。SLE这些心血管症状的早期识别和诊断对于及时干预和改善患者预后至关重要。本病例报告强调了在对有心血管症状的患者进行鉴别诊断时考虑SLE的重要性，特别是当出现胸腔积液和心脏压塞时。为了提高对SLE这些不常见表现的认识和了解，需要更多的研究以及对潜在病理生理学的理解。
