LIBMAN-SACKS ENDOCARDITIS: THE DIAGNOSTIC IMPORTANCE OF TWO-DIMENSIONAL ECHOCARDIOGRAPHY |
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| Authors: | KAHAN A; AMOR B; DE VERNEJOUL F; SAPORTA L |
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| Institution: | The Rheumatology Division, University Ren£ Descartes, School of Medicine, Hopital Cochin Pans, France
Department of Cardiology, The American Hospital of Paris Paris, France |
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| Abstract: | In 1980, a 44-year-old woman with the diagnosis of systemiclupus erythematosus presented with fever and mitral and aorticvalvular insufficiency Blood cultures were sterile. M-mode echocardiogramsof the mitral valve revealed an image resembling vegetationsof infective endocarditis. The diagnosis was rejected aftertwo-dimensional echocardiography which failed to demonstratevegetation. Two-dimensional echocardiography should thereforebe systematically utilized in the diagnosis of valvular lesionsin patients with systemic lupus erythematosus KEY WORDS: Systemic lupus erythematosus, Libman-Sacks endocarditis, Echocardiography |
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