Nour-Eddine M, Bennis A, Soulami S, Chraibi N
Centre de Cardiologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Cardiol Angeiol (Paris). 1996 Feb;45(2):71-3.
Cardiac tamponade secondary to systemic lupus erythematosus is rare and has a very serious prognosis. The authors report a case of cardiac tamponade confirmed by echocardiography, which constituted the presenting sign of systemic lupus erythematosus in a 20-year-old patient, who required emergency pericardial aspiration. The diagnosis of systemic lupus erythematosus was established on the basis of the combination of pericardial involvement, non-erosive arthritis, leukopenia with lymphopenia, presence of LE cells and anti-native DNA antibodies and positive antinuclear antibody titre of 1/2560. The clinical course was favourable in response to 3 months of corticosteroid treatment. The possibility of SLE should be considered in any case of cardiac tamponade in a young patient in which the aetiology is not explained.
系统性红斑狼疮继发心脏压塞较为罕见，预后非常严重。作者报告了一例经超声心动图确诊的心脏压塞病例，该病例是一名20岁患者系统性红斑狼疮的首发症状，患者需要紧急心包穿刺引流。系统性红斑狼疮的诊断基于心包受累、非侵蚀性关节炎、白细胞减少伴淋巴细胞减少、存在狼疮细胞和抗天然DNA抗体以及抗核抗体滴度为1/2560的综合表现。经过3个月的皮质类固醇治疗，临床病程良好。对于病因不明的年轻患者发生心脏压塞的任何病例，均应考虑系统性红斑狼疮的可能性。
