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Chest X-ray. A: chest X-ray shows patchy consolidation with multiple nodular densities in both the lower lung fields and cardiomegaly. B: chest X-ray following treatment with steroids shows improving consolidation and cardiomegaly.
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Figure 1: Chest X-ray. A: chest X-ray shows patchy consolidation with multiple nodular densities in both the lower lung fields and cardiomegaly. B: chest X-ray following treatment with steroids shows improving consolidation and cardiomegaly.

Mentions: A 19-year-old male was admitted to the Combined Armed Forces Hospital with a 7-day history of fever, cough, dyspnea, orthopnea, and chest pain. Based on the chest radiograph and computed tomography, he was diagnosed with a pericardial effusion and pneumonia (Fig. 1A), and was transferred to our hospital for evaluation of the cause and treatment. His medical and family histories were unremarkable.

Myopericarditis in a Korean Young Male With Systemic Lupus Erythematosus

Park KT, Hong KS, Han SJ, Yoon DH, Choi H, Lee MY, Ryu MS, Lee CW - Korean Circ J (2011)

Bottom Line: Myocardial involvement with clinical symptoms is a rare manifestation of systemic lupus erythematosus (SLE), despite the relatively high prevalence of myocarditis at autopsies of SLE patients.In this review, we report the case of a 19-year-old male SLE patient who initially presented with myopericarditis and was successfully treated with high dose of glucocorticoids.

Affiliation: Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.

ABSTRACT
Myocardial involvement with clinical symptoms is a rare manifestation of systemic lupus erythematosus (SLE), despite the relatively high prevalence of myocarditis at autopsies of SLE patients. In this review, we report the case of a 19-year-old male SLE patient who initially presented with myopericarditis and was successfully treated with high dose of glucocorticoids.

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