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(Chest. 1973;63:448-450.)
© 1973 American College of Chest Physicians

Rapid Development of Constrictive Pericarditis in a Patient with Systemic Lupus Erythematosus

Ralph H. Starkey M.D.1 and Beura H. Hahn M.D.2

1 Medical Service, St. Louis Veterans Administration Hospital, and Departments of Medicine and Preventive Medicine, Washington University School of Medicine, St. Louis
2 Clinical Investigator, St. Louis Veterans Administration Hospital

A 28-year-old man presented with systemic lupus erythematosus manifested by nondeforming polyarthritis, lymphadenopathy, acute pericarditis with pericardial effusion, LE cells, and antibodies to native DNA. Constrictive pericarditis developed over the following seven weeks, although corticosteroids were being administered. Constrictive pericarditis in systemic lupus is quite rare, but this entity does occur, may develop rapidly, and may not be prevented by corticosteroid therapy.






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