Korean J Med.
2004 Jul;67(1):89-93.
A case of Libman-Sacks endocarditis confused with infective endocarditis
- Affiliations
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- 1Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Korea. khsg3358@hanmail.net
Abstract
- The nonbacterial valvular and mural verrucous endocarditis known as Libman-Sacks endocarditis is found in 40~60% of patients with systemic lupus erythematosus. the Libman-Sacks endocarditis mostly affects the mitral and aortic valves and frequently displays valvular dysfunction. In rare cases, the Libman-Sacks endocarditis can embolize and cause stroke syndrome. We report a case of Libman-Sacks endocarditis confused with infective endocarditis because its clinical manifestations were very similar to those of infective endocarditis. We confirmed systemic lupus erythematosus with Libman-Sacks endocarditis by means of serology and successfully treated patient with steroid.
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