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Drug-Induced Lupus Erythematosus Presenting With Cardiac Tamponade: A Case Report and Literature Review

机译:药物诱发的红斑性狼疮伴心脏填塞术:一例病例报告并文献复习

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摘要

The presentation of drug-induced lupus erythematosus (DILE) is typically mild, with a significantly lower incidence of life-threatening end-organ dysfunction relative to idiopathic systemic lupus erythematosus. DILE is an uncommon cause of cardiac tamponade but has been reported in patients treated with procainamide, isoniazid, hydralazine, sulfasalazine, and carbamazepine. We present a case of DILE presenting with cardiac tamponade associated with infliximab use that resolved with discontinuation of the medication and administration of high-dose steroids. In conclusion, DILE should be considered in the differential diagnosis in cases of pericarditis with cardiac tamponade without a clear cause.
机译:药物性红斑狼疮(DILE)的表现通常较轻,相对于特发性系统性红斑狼疮,威胁生命的终末器官功能障碍的发生率显着降低。 DILE是引起心脏压塞的罕见原因,但已有普鲁卡因胺,异烟肼,肼屈嗪,柳氮磺吡啶和卡马西平治疗的患者发生DILE的报道。我们介绍了一个DILE病例,该病例中出现与英夫利昔单抗相关的心脏压塞,并因停药和大剂量类固醇激素治疗而缓解。总之,在没有明确原因的心包填塞性心包炎的鉴别诊断中,应考虑DILE。

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