{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T06:06:50Z","timestamp":1765865210882,"version":"3.48.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,15]]},"DOI":"10.7759\/cureus.99337","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T06:04:17Z","timestamp":1765865057000},"source":"Crossref","is-referenced-by-count":0,"title":["When Immunosuppression Fails: Cardiac Myxoma Mimicking Systemic Lupus Erythematosus Flare With a Diagnostic Delay"],"prefix":"10.7759","author":[{"given":"Gurdarshan","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaspreet","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2023.107940","article-title":"Clinical characteristics and surgical outcomes of cardiac myxoma: a meta-analysis of worldwide experience","volume":"50","author":"Oktaviono YH","year":"2024","unstructured":"Oktaviono YH, Saputra PB, Arnindita JN, et al.. Clinical characteristics and surgical outcomes of cardiac myxoma: a meta-analysis of worldwide experience. Eur J Surg Oncol. 2024, 50:107940. 10.1016\/j.ejso.2023.107940","journal-title":"Eur J Surg Oncol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-200105000-00002","article-title":"Clinical presentation of left atrial cardiac myxoma: a series of 112 consecutive cases","volume":"80","author":"Pinede L","year":"2001","unstructured":"Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma: a series of 112 consecutive cases. Medicine (Baltimore). 2001, 80:159-72. 10.1097\/00005792-200105000-00002","journal-title":"Medicine (Baltimore)"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4950250805","article-title":"Characteristics of cardiac myxoma with constitutional signs: a multicenter study in Japan","volume":"25","author":"Endo A","year":"2002","unstructured":"Endo A, Ohtahara A, Kinugawa T, Ogino K, Hisatome I, Shigemasa C. Characteristics of cardiac myxoma with constitutional signs: a multicenter study in Japan. Clin Cardiol. 2002, 25:367-70. 10.1002\/clc.4950250805","journal-title":"Clin Cardiol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.39284","article-title":"Systemic lupus erythematosus and cardiovascular diseases: a systematic review","volume":"15","author":"Nor MA","year":"2023","unstructured":"Nor MA, Ogedegbe OJ, Barbarawi A, et al.. Systemic lupus erythematosus and cardiovascular diseases: a systematic review. Cureus. 2023, 15:e39284. 10.7759\/cureus.39284","journal-title":"Cureus"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200308000-00003","article-title":"The importance of cognitive errors in diagnosis and strategies to minimize them","volume":"78","author":"Croskerry P","year":"2003","unstructured":"Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003, 78:775-80. 10.1097\/00001888-200308000-00003","journal-title":"Acad Med"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.2478\/jccm-2018-0009","article-title":"Incidental finding of a left atrial myxoma while characterising an autoimmune disease","volume":"4","author":"Garcia-Carretero R","year":"2018","unstructured":"Garcia-Carretero R, Naranjo-Mansilla G, Luna-Heredia E, Arias-Baldo P, Beamonte-Vela BN. Incidental finding of a left atrial myxoma while characterising an autoimmune disease. J Crit Care Med (Targu Mures). 2018, 4:64-7. 10.2478\/jccm-2018-0009","journal-title":"J Crit Care Med (Targu Mures)"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1177\/096120330101001109","article-title":"Increased levels of antiphospholipid antibodies in a woman with left atrial myxoma and systemic embolisms","volume":"10","author":"Salobir B","year":"2001","unstructured":"Salobir B, Sabovic M, Kozelj M. Increased levels of antiphospholipid antibodies in a woman with left atrial myxoma and systemic embolisms. Lupus. 2001, 10:815-7. 10.1177\/096120330101001109","journal-title":"Lupus"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/intimm\/dxaa078","article-title":"IL-6 in inflammation, autoimmunity and cancer","volume":"33","author":"Hirano T","year":"2021","unstructured":"Hirano T. IL-6 in inflammation, autoimmunity and cancer. Int Immunol. 2021, 33:127-48. 10.1093\/intimm\/dxaa078","journal-title":"Int Immunol"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e27769","article-title":"Diagnostic accuracy of interleukin-6 in multiple diseases: an umbrella review of meta-analyses","volume":"10","author":"Han Z","year":"2024","unstructured":"Han Z, Li J, Yi X, Zhang T, Liao D, You J, Ai J. Diagnostic accuracy of interleukin-6 in multiple diseases: an umbrella review of meta-analyses. Heliyon. 2024, 10:e27769. 10.1016\/j.heliyon.2024.e27769","journal-title":"Heliyon"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2009.03507.x","article-title":"Diagnostic error and clinical reasoning","volume":"44","author":"Norman GR","year":"2010","unstructured":"Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010, 44:94-100. 10.1111\/j.1365-2923.2009.03507.x","journal-title":"Med Educ"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.17226\/21794","article-title":"Improving Diagnosis in Health Care","year":"2015","unstructured":"Improving Diagnosis in Health Care. National Academies of Sciences, Engineering, and Medicin, Washington, DC; 2015. 10.17226\/21794"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/439853-when-immunosuppression-fails-cardiac-myxoma-mimicking-systemic-lupus-erythematosus-flare-with-a-diagnostic-delay","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T06:04:20Z","timestamp":1765865060000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/439853-when-immunosuppression-fails-cardiac-myxoma-mimicking-systemic-lupus-erythematosus-flare-with-a-diagnostic-delay"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,15]]},"references-count":11,"URL":"https:\/\/doi.org\/10.7759\/cureus.99337","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,15]]}}}