A Case of Steroid-responsive Pericardial Effusion as an Initial Manifestation of Childhood Systemic Lupus Erythematosus

Lee, Jin-Seok; Ha, Tae-Sun

J Korean Soc Pediatr Nephrol > Volume 8(1); 2004 > Article

J Korean Soc Pediatr Nephrol 2004;8(1): 80-85.

심낭삼출로 발병하여 스테로이드 단독치료로 호전된 소아 전신성 홍반성 낭창 1례

이진석, 하태선

¹충북대학교 의과대학 소아과학교실
²충북대학교 의과대학 소아과학교실

A Case of Steroid-responsive Pericardial Effusion as an Initial Manifestation of Childhood Systemic Lupus Erythematosus

Jin-Seok Lee, Tae-Sun Ha

¹Department of Pediatrics, College of Medicine, Chungbuk National University
²Department of Pediatrics, College of Medicine, Chungbuk National University

ABSTRACT

The systemic lupus erythematosus(SLE) is a systemic inflammatory disease caused by autoimmune mechanism, involving blood cells, the kidney, the central nervous system, and etc. The heart is one of the frequently involved organs but it is rare as an initial manifestation. Therefore, early suspicion and accurate diagnosis followed by aggressive immunosuppressive therapy including corticosteroid is mandatory for heart-involved patients. We experienced a case of pericardial effusion as an initial manifestation of childhood SLE, which showed immediate response to corticosteroid.

Key words: Systemic lupus erythematosus | Pericardial effusion | Corticosteroid