Fonseca E, Crespo M, Sobrino J A
Department of Dermatology, Hospital La Paz, Madrid, Spain.
Lupus. 1994 Apr;3(2):129-31. doi: 10.1177/096120339400300213.
Report of a case of complete heart block in a patient with systemic lupus erythematosus (SLE). The cardiac disturbance presented as repeated syncopal episodes and normal cardiac clinical and electrocardiographic examination between these episodes. Circulating anti-U1RNP antibodies were detected and tests for anti-SSA/Ro, anti-SSB/La and antiphospholipid antibodies were negative. Evidence of myocarditis was not found. The diagnosis was just established when the patient developed a syncopal episode during hospitalization. Only one SLE case with a similar clinical course has been reported previously.
系统性红斑狼疮(SLE)患者完全性心脏传导阻滞病例报告。心脏紊乱表现为反复晕厥发作,发作期间心脏临床和心电图检查正常。检测到循环抗U1RNP抗体,抗SSA/Ro、抗SSB/La和抗磷脂抗体检测为阴性。未发现心肌炎证据。患者在住院期间发生晕厥发作时才确诊。此前仅报道过1例临床病程相似的SLE病例。