Background: Acute pericarditis is rare in children; it can evolve to effusion or even cardiac tamponade. The main infectious agents are viruses and bacteria. The pharmacological treatment includes NSAIDs; just a few patients need pericardiocentesis. Clinical case: A school-age patient was hospitalized because of chest pain; she was diagnosed with acute pericarditis and pericardial effusion, without any other symptoms. The disease pattern then evolved to dry cough, crushing epigastric abdominal pain, vomiting and fever. Due to a poor response to the initial treatment, immunological studies were requested. She tested positive to antinuclear antibodies (ANA), anti-double stranded DNA, direct Coombs and anticardiolipin antibodies; hypocomplementemia with lymphopenia was detected too, which is an indicative of systematic lupus erythematosus. Conclusions: The torpid evolution or recurrence of pericarditis must direct toward excluding neoplastic or autoimmune bodies. Cardiovascular manifestations rarely appear initially in patients with Systemic Lupus Erythematosus.
CITATION STYLE
Gerardo-Morales, V., Llausás-Magaña, E., León-Ramírez, A. R., Carreón-Guerrero, J. M., Quibrera, J., Pérez-Gaxiola, G., & García-Domínguez, M. (2019). Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. One case report. Revista Alergia Mexico, 66(1), 132–139. https://doi.org/10.29262/ram.v66i1.528
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