Systemic Lupus Erythematosus: The Daily PANCE Blueprint
Which of the following is the most common cardiac manifestation of systemic lupus erythematosus?
A. Pericarditis
B. Dilated cardiomyopathy
C. Myocarditis
D. Aortic stenosis
E. 3rd degree AV block
Answer and topic summary
The answer is A. Pericarditis
Systemic lupus erythematosus is a chronic autoimmune disease that can impact any organ of the body. It’s important to be aware of how it presents clinically to get to a diagnosis and treatment fast.
The most common clinical features overall are fatigue (80-100%), arthralgia/arthritis (>90%), fever (>50%), and Raynaud phenomenon (~50%). You may also see the classic malar rash that spares the nasolabial folds.
Cardiac complications are common (50%) in SLE, and they lead to morbidity and mortality. The most common cardiac manifestation is pericarditis. Other cardiac issues these patients may have include pericardial effusion, myocarditis (rare), and valvular thickening/dysfunction.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Musculoskeletal ⇒ ⇒
Also covered as part of the Internal Medicine EOR and Family Medicine EOR topic list
