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Case Rep Rheumatol. 2016;2016:4147068. doi: 10.1155/2016/4147068. Epub 2016 Jun 28.

Triple Valvulopathy and Jaccoud's Arthropathy: A Case Report and Literature Review.

Case reports in rheumatology

Ali Naderi Mahabadi, Bassam Alhaddad, Stanley Ballou

Affiliations

  1. Department of Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.
  2. Departments of Medicine and Rheumatology, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

PMID: 27433366 PMCID: PMC4940530 DOI: 10.1155/2016/4147068

Abstract

Cardiac involvement is fairly common in patients with systemic lupus erythematosus (SLE). It may involve all layers of the heart and coronary arteries as well as the heart valves. We report an extremely rare presentation of valvulitis and valvular dysfunction associated with systemic lupus erythematosus. This is the first case of lupus valvulitis which required three mechanical prosthetic valve replacements with disease recurrence leading to a fatal outcome. This is, in our point of view, the consequence of aggressive natural history of the disease and perhaps late diagnosis and treatment of underlying SLE which was unsuccessful.

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