Miocarditis en una mujer de 72 años con lupus eritematoso sistémico de inicio tardío
Keywords:
Late onset. Systemic lupus erythematosus. Myocarditis. Cardiovascular magnetic resonance.Abstract
Se presenta el caso de una mujer de 72 años con lupus eritematoso sistémico (LES) de inicio tardío, que presentaba dolor torácico y disnea. Se realizó ecocardiograma y resonancia magnética cardíaca (CMR), y tests serológicos. Los estudios morfológicos y funcionales del corazón revelaron evidentes señales inflamatorios y moderada efusión pericárdica compatibles con miocarditis y pericarditis. La miocarditis es una manifestación poco común en el LES. Se enfatiza el problema adicional representado por la miocarditis en el manejo y el pronóstico de pacientes con LES.Downloads
References
1. APPENZELLER S, PEREIRA DA, COSTALLAT LT. Greater accrual damage in late-onset systemic lupus erythematosus: a long-term follow-up study. Lupus 2008; 17: 1023-1028.
https://doi.org/10.1177/0961203308089695
2. BODDAERT J, HUONG DL, AMOURA Z, WECHSLER B, GODEAU P, PIETTE JC. Late-onset systemic lupus erythematosus: a personal series of 47 patients and pooled analysis of 714 cases in the literature. Medicine 2004; 83: 348-359.
https://doi.org/10.1097/01.md.0000147737.57861.7c
3. LALANI S, POPE J, DE LEON F, PESCHKEN C, Members of CaNIOS/1000 Faces of Lupus. Clinical features and prognosis of late-onset systemic lupus erythematosus: results from the 1000 faces of lupus study. J Rheumatol 2010; 37: 38-44.
https://doi.org/10.3899/jrheum.080957
4. MADDISON P, FAREWELL V, ISENBERG D, ARANOW C, BAE SC, BARR S, et al. The rate and pattern of organ damage in late onset systemic lupus erythematosus. J Rheumatol 2002; 29: 913-917.
5. ROVENSKÝ J, TUCHYNOVÁ A. Systemic lupus erythematosus in the elderly. Autoimmun Rev 2008; 7: 235-239.
https://doi.org/10.1016/j.autrev.2007.11.014
6. JAIN D, HALUSHKA MK. Cardiac pathology of systemic lupus erythematosus. J Clin Pathol 2009; 62: 584-592.
https://doi.org/10.1136/jcp.2009.064311
7. MAVROGENI S, SPARGIAS K, MARKUSSIS V, KOVOLOU G, DEMEROUTI E, PAPADOPOULOU E et al. Myocardial inflammation in autoimmune diseases: investigation by cardiovascular magnetic resonance and endomyocardial biopsy. Inflamm Allergy Drug Targets 2009; 8: 390-397.
https://doi.org/10.2174/1871528110908050390
8. WASSMUTH R. Cardiac magnetic resonance imaging for myocarditis and nonischemic cardiomyopathies. Minerva Cardioangiol 2009; 57: 511-520.
9. GOITEIN O, MATETZKY S, BEINART R, DI SEGNI E, HOD H, BENTANCUR A et al. Acute myocarditis: noninvasive evaluation with cardiac CMR and transthoracic echocardiography. AJR 2009; 192: 254-258.
https://doi.org/10.2214/AJR.08.1281
10. COSTA S, FRANCO F, MONTEIRO P, OLIVEIRA L, VIEIRA H, GARRIDO L et al. Miocardite lúpica: a propósito de um caso clínico. Rev Port Cardiol 2005; 24: 1247-1257.
11. HAK AE, KARLSON EW, FESKANICH D, STAMPFER MJ, COSTENBADER KH. Systemic lupus erythematosus and risk of cardiovascular disease. Results from the Nurses Health Study. Arthritis Rheum 2009; 15: 1396-1402.
https://doi.org/10.1002/art.24537
12. PANCHAL L, DIVATE S, VAIDEESWAR P, PANDIT SP. Cardiovascular involvement in systemic lupus erythemathosus: an autopsy study of 27 patients in India. J Postgrad Med 2006; 52: 5-10.
13. WOO SI, HWANG GS, KANG SJ, PARK JS, PARK SJ, LEE YS et al. Lupus myocarditis presenting as acute congestive heart failure: a case report. J Korean Med Sci 2009; 24: 176-178.
https://doi.org/10.3346/jkms.2009.24.1.176
14. FRANCONE M, CARBONE I, AGATI L, BUCCIARELLI DUCCI C, MANGIA M, IACUCCI I et al. Utility of T2-weighted short-tau inversion recovery (STIR) sequences in cardiac MRI: an overview of clinical applications in ischaemic and non-ischaemic heart disease. Radiol Med 2011; 116: 32-46.
https://doi.org/10.1007/s11547-010-0594-0
15. FRIEDRICH MG, SECHTEM U, SCHULZ-MENGER J, HOLMVANG G, ALAKIJA P, COOPER LT, et al. Cardiovascular magnetic resonance in myocarditis: a JACC white paper. J Am Coll Cardiol 2009; 53: 1475-1487.
https://doi.org/10.1016/j.jacc.2009.02.007
16. JCS JOINT WORKING GROUP. Guidelines for diagnosis and treatment of myocarditis (JCS 2009) Digest version. Circ J 2011; 75: 734-743.
https://doi.org/10.1253/circj.CJ-88-0008
17. JIJI RS, KRAMER CM. Cardiovascular magnetic resonance: applications in daily practice. Cardiol Rev 2011; 19: 246-254.
https://doi.org/10.1097/CRD.0b013e31821f4d6a
18. WOZAKOWSKA-KAPLON B, SZYMCZYK R, BAKOWSKI D, JASKULSKA-NIEDZIELA E, BARTKOWIAK R, STEPIEN-WALEK A et al. Myocarditis - clinical course and 2-year outcome in 32 patients. Kardiol Pol 2009; 67 :642-648.
19. KELLEY WE, JANUZZI JL, CHRISTENSON RH. Increases of cardiac troponin in conditions other than acute coronary syndrome and heart failure. Clin Chem 2009; 55: 2098-2012.
https://doi.org/10.1373/clinchem.2009.130799
20. ISMAIL Y, ISMAIL AA, ISMAIL AAA. Erronmeous laboratory results: what clinicians need to know. Clin Med 2007; 7: 357-361.
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