| A case of systemic lupus erythematosus with the clinical presentation of severe heart failure after delivery |
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Hyoung-Chu Joung, Nae-Sun Ryou, Min-Hyung Cho, Jong-Young Lee, Sung-Soo Kim, Sang-Sig Cheong, Sang-Yong Yoo |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : 출산 후 심한 심부전으로 임상발현된 전신성 홍반성 루푸스 1예 |
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정형주&#;유내선&#;조민형&#;이종영&#;김성수&#;정상식&#;유상용, Nae-Sun Ryou, Min-Hyung Cho, Jong-Young Lee, Sung-Soo Kim, Sang-Sig Cheong, Sang-Yong Yoo |
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| Abstract |
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Although evidence of myocarditis has frequently been observed in series of autopsies of patients with systemic lupus
erythematosus (SLE), the incidence and prevalence of clinically apparent primary myocardial dysfunction appears to be
low. We present a 27-year-old woman who was admitted to our hospital due to dyspnea after delivery and was
diagnosed with heart failure. The patient was treated with diuretics, ACE inhibitors and dobutamine, in accordance with
the typical management of heart failure. However, her symptoms of heart failure became aggravated and renal failure
began to develop. Based on laboratory data and clinical findings, the patient was diagnosed with SLE. It was not until
we began high-dose steroid pulse therapy that her clinical picture improved. This leaves little doubt that the diagnosis
of heart failure with severe left ventricular dysfunction secondary to SLE was correct. The patient is currently under
follow-up as an outpatient without symptoms.(Korean J Med 73:S956-S960, 2007) |
| Key Words:
Systemic lupus erythematosus, Heart failure, Delivery |
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