Document Detail

Systemic lupus erythematosus coronary vasculitis demonstrated on cardiac computed tomography.
MedLine Citation:
PMID:  25088221     Owner:  NLM     Status:  In-Data-Review    
Coronary artery aneurysms are an uncommon manifestation of systemic lupus erythematosus (SLE), with only 14 cases reported previously in the literature. Herein, we report a 29-year-old woman with SLE who developed clinical and serologic evidence of an SLE flare and presented with chest pain and elevated serum troponin-T level. Cardiac computed tomography was performed and demonstrated fusiform aneurysmal enlargement of the proximal and middle portions of the coronary arteries and a beaded appearance of the distal coronary arteries. Extensive intercostal artery aneurysms were also noted. Several areas of abnormal myocardial perfusion were also noted. The patient improved after treatment with steroid pulses and cyclophosphamide. This case report is the first description of the appearance of lupus coronary vasculitis on cardiac computed tomography.
Jabi Shriki; Jerold S Shinbane; Nazanin Azadi; Tien-I Karleen Su; Jonah Hirschbein; Francisco P Quismorio; Puneet Bhargava
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current problems in diagnostic radiology     Volume:  43     ISSN:  1535-6302     ISO Abbreviation:  Curr Probl Diagn Radiol     Publication Date:    2014 Sep-Oct
Date Detail:
Created Date:  2014-08-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7607123     Medline TA:  Curr Probl Diagn Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  294-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2014 Mosby, Inc. All rights reserved.
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