{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:51:21Z","timestamp":1767649881482,"version":"3.41.2"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title><jats:p>Aortic aneurysm is a potentially life\u2010threatening condition with higher incidence in patients with systemic lupus erythematosus(SLE). Patients usually present with nonspecific symptoms and diagnosis is typically made incidentally through imaging studies. Management strategies include medical therapy to control inflammation and hypertension, surgical intervention for large or symptomatic aneursyms, and close monitoring for early detection of complications. We present a case of a 49\u2010year female with multiple joint pain and other nonspecific symptoms for 7\u2009years. Anti\u2010ds DNA and ANA titre were significantly high and CT angiogram showed ascending aortic aneurysm measuring 5.5\u2009cm. Conservative management was started with steroids, hydroxychloroquine, and antihypertensives, while awaiting surgery. However she suddenly collapsed, probably due to aneurysm rupture and could not be revived. Our case report therefore emphasizes the importance of close surveillance and timely intervention to minimize the morbidity and mortality in these patients.<\/jats:p>","DOI":"10.1002\/ccr3.7696","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T14:10:41Z","timestamp":1689257441000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Fatal ascending aortic aneurysm in a patient with systemic lupus erythematosus: A case report"],"prefix":"10.1002","volume":"11","author":[{"given":"Tejash","family":"Shahi","sequence":"first","affiliation":[{"name":"Institute of Medicine, Tribhuwan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0848-8322","authenticated-orcid":false,"given":"Prinska","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Institute of Medicine, Tribhuwan University 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