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Pericardial tamponade presenting as abdominal pain in a patient with systemic lupus erythematosis

Published online by Cambridge University Press:  21 May 2015

Antonio E. Muñiz*
Affiliation:
Department of Emergency Medicine and Pediatrics, Medical College of Virginia, Richmond, Va.
*
401 North 12th St., PO Box 980401 Richmond VA 23298-0401, USA; [email protected]

Abstract:

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Abdominal pain is a common complaint in children presenting to the emergency department. Patients with systemic lupus erythematosus (SLE) are at increased risk of infection, bowel necrosis and perforation, especially if they are taking nonsteroidal anti-inflammatory drugs, corticosteroids or immunosuppresive agents, which may mask the signs and symptoms of the underlying condition, hence delay diagnosis and treatment. This article presents the case of an adolescent girl whose abdominal pain was related to cardiac tamponade and provides an overview of the cardiac and gastrointestinal manifestations of SLE.

Type
Case Reports • Observations
Copyright
Copyright © Canadian Association of Emergency Physicians 2000

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