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Acta Medica Iranica، جلد ۵۵، شماره ۹، صفحات ۵۹۷-۶۰۱
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عنوان انگلیسی Drug-Induced by Systemic Lupus Erythematosus Presenting as Recurrent Pericardial Effusion After Mitral Valve Repair
چکیده انگلیسی مقاله We report a patient presented with recurrent pericardial effusion caused by drug-induced systemic lupus Erythematosus (SLE) following mitral valve repair. The surgery was complicated by hemiparesis and convulsion in early postoperative period. The patient had been received carbamazepine for a paroxysmal seizure that occurred following mitral valve repair. The post operative computed tomography showed embolic stroke and its sequel (seizure) that treated with carbamazepine. In the 3rd month of follow-up, however, hemiparesis recovered by physiotherapy but carbamazepine was not discontinued as by request of neurologist. In the 6 th month of surgery, the patient admitted by dyspnea and massive pericardial effusion that treated by subxiphoid drainage. This event was re occurred in two times in a short time frame and each event treated by surgical approach. The serologic exam in the last admission revealed drug-induced lupus erythematosus. The carbamazepine as an anti convulsive drug has been described to cause LE like disease in multiple case reports. Laboratory exam exhibited the possibility of carbamazepine-induced lupus in our case, with the extremely rare presentation of recurrent massive pericardial effusion.
کلیدواژه‌های انگلیسی مقاله Lupus erythematosus,Drug-induced type,Pericardial effusion
نویسندگان مقاله عقیق حیدری | aghigh haydari
department of cardiac surgery, imam ali hospital, kermanshah university of medicine, kermanshah, iran.


فریدون سبزی | feridoun sabzi
department of cardiac surgery, imam ali hospital, kermanshah university of medicine, kermanshah, iran.


صمصام دبیری | samsam dabiri
department of cardiac surgery, imam ali hospital, kermanshah university of medicine, kermanshah, iran.


علیرضا poormotaabed | alireza poormotaabed


نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/5047
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Case Report(s)
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