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 |
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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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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. 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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.</description><subject>Adult</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Brain Ischemia - complications</subject><subject>Echocardiography</subject><subject>Endocarditis - complications</subject><subject>Endocarditis - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>Lupus Erythematosus, Systemic - diagnostic imaging</subject><subject>Rheumatic Heart Disease - complications</subject><subject>Rheumatic Heart Disease - diagnostic imaging</subject><subject>Stroke - complications</subject><issn>0049-4755</issn><issn>1758-1133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDFPwzAUhC0EoqWwMyGPLAE_O46dESqgSJUYgDmyE7t1SZxgJwP_nkQtDEhMT7r77qR3CF0CuQEQ4paQNE8F55BLnmaUHaE5CC4TAMaO0Xyyk8mfobMYd4QwDhxO0YwBSCIJnaPV2ulG-eRVlR8RG1-1pQqV613EzmOF75Xf1Koycetwp3pnfI_jYK0Jzm-wDW2Dw3bohniOTqyqo7k43AV6f3x4W66S9cvT8_JunZSMiT6RoCizjAuZUS0oE5ZbrUFqanLKeKU0lIxnmR7lMk-JTXMDOQWrCLeEZmyBrve9XWg_BxP7onGxNHWtvGmHWFAqcy4gY-mIkj1ahjbGYGzRBdeo8FUAKab9ir_7jZGrQ_ugG1P9Bn4GG4FkD0S1McWuHYIfv_2_8BsGgXap</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Zaman, Shahana</creator><creator>Rahim, Muhammad Abdur</creator><creator>Sayami, Lima Asrin</creator><creator>Nabi, Shaila</creator><creator>Islam, AKM Monwarul</creator><creator>Ullah, Mohammad</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1280-9144</orcidid></search><sort><creationdate>201910</creationdate><title>Libman-Sacks endocarditis in a Bangladeshi patient suffering from rhupus</title><author>Zaman, Shahana ; Rahim, Muhammad Abdur ; Sayami, Lima Asrin ; Nabi, Shaila ; Islam, AKM Monwarul ; Ullah, Mohammad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-81a23f357862b7237f5fbb18b2e9235dab1c3566b5fbc940f49e1921fa05f0263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Brain Ischemia - complications</topic><topic>Echocardiography</topic><topic>Endocarditis - complications</topic><topic>Endocarditis - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>Lupus Erythematosus, Systemic - diagnostic imaging</topic><topic>Rheumatic Heart Disease - complications</topic><topic>Rheumatic Heart Disease - diagnostic imaging</topic><topic>Stroke - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zaman, Shahana</creatorcontrib><creatorcontrib>Rahim, Muhammad Abdur</creatorcontrib><creatorcontrib>Sayami, Lima Asrin</creatorcontrib><creatorcontrib>Nabi, Shaila</creatorcontrib><creatorcontrib>Islam, AKM Monwarul</creatorcontrib><creatorcontrib>Ullah, Mohammad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical doctor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zaman, Shahana</au><au>Rahim, Muhammad Abdur</au><au>Sayami, Lima Asrin</au><au>Nabi, Shaila</au><au>Islam, AKM Monwarul</au><au>Ullah, Mohammad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Libman-Sacks endocarditis in a Bangladeshi patient suffering from rhupus</atitle><jtitle>Tropical doctor</jtitle><addtitle>Trop Doct</addtitle><date>2019-10</date><risdate>2019</risdate><volume>49</volume><issue>4</issue><spage>309</spage><epage>311</epage><pages>309-311</pages><issn>0049-4755</issn><eissn>1758-1133</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31180802</pmid><doi>10.1177/0049475519854623</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-1280-9144</orcidid></addata></record> |
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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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