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Kalra, Ravi
- Cardiac Tamponade as a Rare Initial Manifestation of Systemic Lupus Erythematosus
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PDF Views:0
Authors
Affiliations
1 Department of Cardiology, Bharati Hospital and Research Center, Pune, IN
2 Bharati Hospital and Research Center, Pune, IN
3 Columbia Asia Hospital, Pune, IN
1 Department of Cardiology, Bharati Hospital and Research Center, Pune, IN
2 Bharati Hospital and Research Center, Pune, IN
3 Columbia Asia Hospital, Pune, IN
Source
The Indian Practitioner, Vol 73, No 10 (2020), Pagination: 33-35Abstract
Systemic lupus erythematosus is a collagen disease that frequently involves the cardiovascular system, the pericardium being the most commonly affected site. This involvement is usually pericardial effusion, majority of the time of mild degree. In a few patients, pericardial involvement may be the initial presentation of systemic lupus erythematosus. Cardiac tamponade is a rare clinical manifestation and very few cases are reported as the initial manifestation of the disease. Here, we report a patient with SLE with cardiac tamponade. Our patient presented with subacute presentation. Echocardiography showed large pericardial effusion with features suggestive of cardiac tamponade. Pericardiocentesis was done. The fluid was hemorrhagic in nature. Fluid analysis was suggestive of exudative effusion. Antinuclear antibody, U1-nRNP, nucleosomes, Sm were found to be positive. Oral prednisolone was started and slowly tapered to a maintenance dose. Azathioprine, hydroxychloroquine, torsemide were added. Patient has responded well and is following up in the OPD.Keywords
SLE-systemic Lupus Erythematosus, CTD– Connective Tissue Disorder, Cardiac Tamponade, Pericardial Effusion.
References
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- Spodick DH. Acute cardiac tamponade. N Engl J Med 2003; 2013:684
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- Takayasu Arteritis: Current Perspective and Brief Narrative Review
Abstract Views :110 |
PDF Views:76
Authors
Affiliations
1 Undergraduate Student, IN
2 Professor and Head, Department of Cardiology, IN
3 Professor and Head, Department of Interventional Radiology (Radiodiagnosis), Bharati Vidyapeeth (Deemed to be University) Medical College, Hospital and Research Centre, Pune, Maharashtra, India., IN
1 Undergraduate Student, IN
2 Professor and Head, Department of Cardiology, IN
3 Professor and Head, Department of Interventional Radiology (Radiodiagnosis), Bharati Vidyapeeth (Deemed to be University) Medical College, Hospital and Research Centre, Pune, Maharashtra, India., IN
Source
The Indian Practitioner, Vol 75, No 5 (2022), Pagination: 18-23Abstract
Takayasu Arteritis (TA) is a rare chronic inflammatory vascular disorder that mainly causes stenosis and occlusion of large vessels of the body. TA is prevalent in the Asian population with a higher evidence seen in young females. Even though TA has an unclear etiopathogenesis, there are numerous genetic links found associated with TA. Various interventional and radiological investigations prove to be the key for confirming the diagnosis of TA, following which appropriate medical and surgical line of treatment are done, however there is no universal protocol for managing TA. TA has a tendency to progress to serious life threatening complications, hence early diagnosis and treatment should be the goal, also aimed at preventing future re-stenosis, a well-studied complication of TA. It is also crucial to diagnose TA from other overlapping diseases, owing to its peculiar clinical presentation and characteristic radiological findings, which is often confused with other vascular disorders. TA as a disease greatly impacts the quality of life in affected patients with a worse prognosis seen in those who are predisposed to certain well documented risk factors. Furthermore, an increasing number of cases reporting an interesting link between arteritis and the COVID-19 virus have been reported in recent times, which might prove to be crucial in the forthcoming years for establishing this association. Our article aims to sensitize clinicians with regard to an increased awareness of TA in various clinical settings for better patient management and improved prognosis.
Keywords
COVID-19, diagnosis, endovascular, giant cell arteritis, interventions, takayasu arteritis, treatmentFull Text
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