Libman-Sacks endocarditis in a Bangladeshi patient suffering from rhupus

Libman-Sacks endocarditis (LSE) is one of the most characteristic cardiac lesions in systemic lupus erythematosus (SLE). Patients may remain asymptomatic, while symptomatic patients often suffer with systemic emboli. These commonly test positive for anti-phospholipid antibody (aPA). The association...

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Veröffentlicht in:Tropical doctor 2019-10, Vol.49 (4), p.309-311
Hauptverfasser: Zaman, Shahana, Rahim, Muhammad Abdur, Sayami, Lima Asrin, Nabi, Shaila, Islam, AKM Monwarul, Ullah, Mohammad
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container_end_page 311
container_issue 4
container_start_page 309
container_title Tropical doctor
container_volume 49
creator Zaman, Shahana
Rahim, Muhammad Abdur
Sayami, Lima Asrin
Nabi, Shaila
Islam, AKM Monwarul
Ullah, Mohammad
description Libman-Sacks endocarditis (LSE) is one of the most characteristic cardiac lesions in systemic lupus erythematosus (SLE). Patients may remain asymptomatic, while symptomatic patients often suffer with systemic emboli. These commonly test positive for anti-phospholipid antibody (aPA). The association of LSE with an overlap of rheumatoid arthritis (RA) and lupus (also known as ‘rhupus’) is rare. We report such a patient, who had been diagnosed as having RA seven years before and had suffered an acute ischaemic stroke one year previously and had echocardiographic evidence of LSE found during routine evaluation. However, she tested negative for aPA.
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subjects Adult
Arthritis, Rheumatoid - complications
Brain Ischemia - complications
Echocardiography
Endocarditis - complications
Endocarditis - diagnostic imaging
Female
Humans
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - diagnostic imaging
Rheumatic Heart Disease - complications
Rheumatic Heart Disease - diagnostic imaging
Stroke - complications
title Libman-Sacks endocarditis in a Bangladeshi patient suffering from rhupus
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