AN UNUSUAL PRESENTATION OF SYSTEMIC LUPUS-ERYTHEMATOSUS

被引:3
|
作者
UPPAL, R
SHEPPARD, MN
MAGEE, P
机构
[1] Department of Cardiothoracic Surgery, The London Chest Hospital, London
[2] Department of Pathology, The Royal Brompton and National Heart Hospital, London
关键词
HEMIPARESIS; VENTRICULAR MASS; SYSTEMIC LUPUS ERYTHEMATOSUS;
D O I
10.1016/1010-7940(91)90058-R
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A case of right hemiparesis in a 22-year-old, caucasian male is presented. Echocardiography and an indirect left ventriculogram revealed a mass in the left ventricle which was eventually removed at surgery. Histology of the ventricular wall revealed thrombus superimposed on a full thickness myocardial infarction with florid intimal proliferation of small arteries. This histological picture suggested a diagnosis of systemic lupus erythematosus. Serum immunology revealed raised antibody titres in keeping with systemic lupus erythematosus. This is an unusual presentation where the only manifestation of disease was hemiparesis secondary to an embolic episode, from thrombus in the left ventricle subsequent to a small localised myocardial infarct.
引用
收藏
页码:386 / 387
页数:2
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