{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:49:37Z","timestamp":1784047777884,"version":"3.55.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Self-finance"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,28]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by multisystem inflammation and is a common cause of pericarditis and pericardial effusion, but significant pericardial effusion and cardiac tamponade are rare and even rarer as the first manifestation.<\/jats:p>\n <\/jats:sec>\n \n Case summary<\/jats:title>\n We report the case of a young male who presented with fever, recurrent pericarditis, and polyserositis with pericardial and bilateral pleural effusion. On examination, he was haemodynamically unstable and the pericardial effusion had considerable dimensions and an urgent pericardiocentesis was performed. Antinuclear antibody with a speckled pattern was positive, complement C4 levels were low, and the remaining autoimmunity and infectious study was unremarkable. Considering the European League Against Rheumatism\/American College of Rheumatology classification criteria for SLE, a score of 11 points was obtained, confirming the diagnosis of SLE.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n This case report illustrates a rare form of presentation of SLE, in which the first manifestation was pericarditis with polyserositis and cardiac tamponade.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae137","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T20:22:42Z","timestamp":1710534162000},"source":"Crossref","is-referenced-by-count":4,"title":["Systemic disease presenting as cardiac tamponade: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0165-6645","authenticated-orcid":false,"given":"Maria In\u00eas","family":"Barradas","sequence":"first","affiliation":[{"name":"Department of Cardiology, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada , Avenida D. Manuel I, 9500-370 Ponta Delgada, S\u00e3o Miguel , Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00eas","family":"Coutinho dos Santos","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada , Avenida D. Manuel I, 9500-370 Ponta Delgada, S\u00e3o Miguel , Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3278-4407","authenticated-orcid":false,"given":"Fabiana","family":"Duarte","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada , Avenida D. Manuel I, 9500-370 Ponta Delgada, S\u00e3o Miguel , Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anabela","family":"Tavares","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada , Avenida D. Manuel I, 9500-370 Ponta Delgada, S\u00e3o Miguel , Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinis","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada , Avenida D. Manuel I, 9500-370 Ponta Delgada, S\u00e3o Miguel , Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"2024043014003824300_ytae137-B1","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1016\/j.amjcard.2003.08.036","article-title":"Clinical and echocardiographic characteristics of hemodynamically significant pericardial effusions in patients with systemic lupus erythematosus","volume":"92","author":"Cauduro","year":"2003","journal-title":"Am J Cardiol"},{"key":"2024043014003824300_ytae137-B2","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.rdc.2013.10.003","article-title":"Cardiac manifestations of systemic lupus erythematosus","volume":"40","author":"Miner","year":"2014","journal-title":"Rheum Dis Clin North Am"},{"key":"2024043014003824300_ytae137-B3","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1177\/0961203308100659","article-title":"The spectrum of clinical manifestations, outcome and treatment of pericardial tamponade in patients with systemic lupus erythematosus: a retrospective study and literature review","volume":"18","author":"Rosenbaum","year":"2009","journal-title":"Lupus"},{"key":"2024043014003824300_ytae137-B4","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1191\/0961203305lu2187oa","article-title":"Serositis related to systemic lupus erythematosus: prevalence and outcome","volume":"14","author":"Man","year":"2005","journal-title":"Lupus"},{"key":"2024043014003824300_ytae137-B5","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/01.md.0000091181.93122.55","article-title":"Morbidity and mortality in systemic lupus erythematosus during a 10-year period","volume":"82","author":"Cervera","year":"2003","journal-title":"Medicine (Baltimore)"},{"key":"2024043014003824300_ytae137-B6","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1002\/art.40930","article-title":"2019 European League Against Rheumatism\/American College of Rheumatology classification criteria for systemic lupus erythematosus","volume":"71","author":"Aringer","year":"2019","journal-title":"Arthritis Rheumatol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae137\/56990192\/ytae137.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/4\/ytae137\/57349648\/ytae137.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/4\/ytae137\/57349648\/ytae137.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T14:04:29Z","timestamp":1714485869000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae137\/7630041"}},"subtitle":[],"editor":[{"given":"Josip Andelo","family":"Borovac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Rita","family":"Pavasini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Georgia","family":"Daniel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Emmanouil","family":"Mantzouranis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,3,15]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,3,28]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae137","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,4]]},"published":{"date-parts":[[2024,3,15]]},"article-number":"ytae137"}}