루푸스에 의한 심근염은 드문 질환으로 조기에 진단하여 스테로이드 충격요법 같은 면역억제치료하지 않으면, 심장마비나 장기적으로 심부전을 야기할 수 있다. 이에 저자들은 루푸스로 인한 심근염을 임상양상, 심전도, 혈액검사와 더불어 심장초음파로 진단 후 스테로이드 충격요법으로 치료하여 심근염으로 인한 증상이 회복 도중에 원인을 알 수 없어 갑자기 발생한 종격동 기종으로 사망한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
루푸스에 의한 심근염은 드문 질환으로 조기에 진단하여 스테로이드 충격요법 같은 면역억제치료하지 않으면, 심장마비나 장기적으로 심부전을 야기할 수 있다. 이에 저자들은 루푸스로 인한 심근염을 임상양상, 심전도, 혈액검사와 더불어 심장초음파로 진단 후 스테로이드 충격요법으로 치료하여 심근염으로 인한 증상이 회복 도중에 원인을 알 수 없어 갑자기 발생한 종격동 기종으로 사망한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Systemic lupus erythematous (SLE) is systemic autoimmune disease of unknown etiology. SLE involve all part of heart but clinically important myocarditis is an unusual feature and is potentially fatal complication of SLE. We describe the woman who had diagnosed as SLE, 5 years ago and in that time, s...
Systemic lupus erythematous (SLE) is systemic autoimmune disease of unknown etiology. SLE involve all part of heart but clinically important myocarditis is an unusual feature and is potentially fatal complication of SLE. We describe the woman who had diagnosed as SLE, 5 years ago and in that time, she had sinus tachycardia, mild dyspnea, chest discomfort, and depressed left ventricular function. She was diagnosed to myocarditis clinically and was treated by high-dose corticosteroids of intravenous pulse methylprednisolone. After treatment, she improved and showed improvement of left ventricular function. However, a sudden pneumomediastinum was occurred without trauma, and she died. The cause of pneumomediastinum was unexplained. We report a sudden pneumomediastinum in the course of lupus myocarditis presenting as sinus tachycardia with review of literature.
Systemic lupus erythematous (SLE) is systemic autoimmune disease of unknown etiology. SLE involve all part of heart but clinically important myocarditis is an unusual feature and is potentially fatal complication of SLE. We describe the woman who had diagnosed as SLE, 5 years ago and in that time, she had sinus tachycardia, mild dyspnea, chest discomfort, and depressed left ventricular function. She was diagnosed to myocarditis clinically and was treated by high-dose corticosteroids of intravenous pulse methylprednisolone. After treatment, she improved and showed improvement of left ventricular function. However, a sudden pneumomediastinum was occurred without trauma, and she died. The cause of pneumomediastinum was unexplained. We report a sudden pneumomediastinum in the course of lupus myocarditis presenting as sinus tachycardia with review of literature.
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