Fulminant Course of Valvular Insufficiency on a Pediatric Patient with Systemic Lupus Erythemathosus

Abel Gidey

Ayder Comprehensive Specialized Hospital, Ethiopia

Abstract

Introduction: Systemic lupus erythematosus (SLE) is a chronic inflammatory disease of unknown cause that can affect the multiple organs of the body. Cardiac involvement among children with SLE ranges in various studies from 12 to 54 percent with varied in nature and severity. Valvular lesion is the most encountered form of heart disease in systemic lupus erythematosus (SLE). The mitral valve being the commonest site.

Case report: We report a case of 16 years old male adolescent who was referred from district hospital in Tigray region. He was newly diagnosed Systemic lupus erythemoatosus with rapid progression of valvular insufficiency and congestive heart failure. This is one of the rare case reports with diagnostic and therapeutic challenge.

Conclusion: Cardiac involvement in systemic lupus erythematosus is a multifaceted disease with irreversible valvular damage. Frequently changes over short period of time and is associated with substantial morbidity and mortality unless immediate medical and/or surgically intervened.

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