Lupus myocarditis in an octogenarian patient—a case report. Issue 10 (23rd October 2020)

• Record Type: Journal Article
• Authors: Shemesh, Elad; Abu Akel, Mahmood; Feld, Joy; Zisman, Devy; Hijaze, Nizar; Hamdan, Ashraf; Zissman, Keren
• Is Part Of: Oxford medical case reports. Volume 2020:Issue 10(2020)
• Publication Date: 2020-10-23
• Subjects: Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1093/omcr/omaa094
• Languages: English
• ISSNs: 2053-8855

Abstract

Abstract: Lupus myocarditis is a relatively rare manifestation of systemic lupus erythematosus. The majority of patients who experience myocardial involvement are females of young age. Here, we report a case of an 87-year-old male who was hospitalized because of perimyocarditis 2 weeks after undergoing percutaneous coronary intervention. Despite standard therapy his condition worsened, biomarkers and inflammation indices remained elevated, and pericardial effusion accumulated. The use of cardiac magnetic resonance (CMR) imaging, along with thorough history taking and testing for relevant antibodies allowed to establish the unusual diagnosis of lupus myocaridits. We demonstrate that lupus myocarditis may occur even in elderly males, as supported by characteristic CMR features.