Document Detail


Lupus pericarditis.
MedLine Citation:
PMID:  4140754     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report documents a case of systemic lupus erythematosus in which the major presenting feature was pericarditis and in which the diagnosis was made after pericardiocentesis by the demonstration of typical LE cells in pericardial fluid stained with Wright's stain. Review of the literature indicates that pericarditis in lupus is more common than is generally suspected, and when it is the initial manifestation it is often misdiagnosed as "benign viral pericarditis".Screening for collagen disease should be a part of the work-up of any patient presenting with pericarditis, especially a woman. Occasionally lupus may be present even when the serologic tests have given negative results. Under such circumstances, or when the patient manifests an atypical or prolonged course, a diagnostic pericardiocentesis is in order, provided an effusion can be confirmed on scan. A search for LE cells should be included in the analysis of the aspirated fluid.
Authors:
N Wolkove; H Frank
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  111     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1974 Dec 
Date Detail:
Created Date:  1975-04-16     Completed Date:  1975-04-16     Revised Date:  2010-06-22    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1331-3     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Lupus Erythematosus, Systemic / complications*,  diagnosis
Middle Aged
Neutrophils
Pericardial Effusion / etiology
Pericarditis / complications*,  diagnosis
Radiography, Thoracic
Comments/Corrections

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