Association between immunological diseases and their similar clinical manifestations

Arq Bras Cardiol. 2012 Feb;98(2):e28-31. doi: 10.1590/s0066-782x2012000200016.
[Article in English, Portuguese, Spanish]

Abstract

We report on a 30-year-old female patient, with biological mitral valve prosthesis due to symptomatic mitral stenosis and a history of acute myocardial infarction and generalized tonic-clonic seizure episodes, visual hallucinations, cerebral thromboembolic events and, at present, chorea and acute carditis. The patient was diagnosed with active rheumatic fever (RF), systemic lupus erythematosus (SLE) and Antiphospholipid syndrome (APS). The combination of three unusual diagnoses in the same patient makes this a unique case, modifying patient treatment and prognosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antiphospholipid Syndrome / complications*
  • Bioprosthesis
  • Female
  • Heart Valve Prosthesis
  • Humans
  • Lupus Erythematosus, Systemic / complications*
  • Mitral Valve Stenosis / complications
  • Myocarditis / etiology
  • Rheumatic Fever / complications*