A case of Libman-Sacks endocarditis confused with infective endocarditis.
- Author:
Sang Youl RHEE
1
;
Il Suk SOHN
;
Soo Joong KIM
;
Heung Sun KANG
;
Chung Whee CHOUE
;
Jung Sang SONG
;
Jong Hoa BAE
Author Information
1. Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Korea. khsg3358@hanmail.net
- Publication Type:Case Report
- Keywords:
SLE;
Libman-Sacks;
Endocarditis
- MeSH:
Aortic Valve;
Endocarditis*;
Humans;
Lupus Erythematosus, Systemic;
Stroke
- From:Korean Journal of Medicine
2004;67(1):89-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The nonbacterial valvular and mural verrucous endocarditis known as Libman-Sacks endocarditis is found in 40~60% of patients with systemic lupus erythematosus. the Libman-Sacks endocarditis mostly affects the mitral and aortic valves and frequently displays valvular dysfunction. In rare cases, the Libman-Sacks endocarditis can embolize and cause stroke syndrome. We report a case of Libman-Sacks endocarditis confused with infective endocarditis because its clinical manifestations were very similar to those of infective endocarditis. We confirmed systemic lupus erythematosus with Libman-Sacks endocarditis by means of serology and successfully treated patient with steroid.
