SciELO - Scientific Electronic Library Online

vol.66 número1Asma de difícil control relacionada con tromboembolismo pulmonar y aspergilosis broncopulmonarMASK (Mobile Airways Sentinel Network). La solución integral de ARIA por app móvil para la multimorbilidad de rinitis alérgica y asma índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • No hay artículos similaresSimilares en SciELO


Revista alergia México

versión On-line ISSN 2448-9190


GERARDO-MORALES, Vilma et al. Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report. Rev. alerg. Méx. [online]. 2019, vol.66, n.1, pp.132-139. ISSN 2448-9190.


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.


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.

Palabras llave : Pericarditis; Pericardial effusion; Systemic lupus erythematosus; Pediatrics.

        · resumen en Español     · texto en Español     · Español ( pdf )