Systemic lupus erythematosus: calciphylaxis induced cardiomyopathy. uri icon

Overview

abstract

  • A 31-year-old woman with systemic lupus erythematosus (SLE), diabetes mellitus, and chronic renal failure developed digital ischemia, myocardial dysfunction, abnormal ECG, and elevated CPK levels. Radiographic studies revealed calcification of the peripheral vasculature although coronary angiography was unremarkable. An endomyocardial biopsy demonstrated intra and extracellular myocardial calcification without evidence of vasculitis or primary myocarditis. A diagnosis of calciphylaxis, as a result of secondary hyperparathyroidism, was made. This case demonstrates that calciphylaxis can mimic the cardiovascular manifestations of SLE. Early differentiation of these disparate diseases is important because treatment strategies employed in SLE may exacerbate calciphylaxis.

publication date

  • January 1, 1995

Research

keywords

  • Calciphylaxis
  • Cardiomyopathies
  • Lupus Erythematosus, Systemic

Identity

Scopus Document Identifier

  • 0028890725

PubMed ID

  • 7699668

Additional Document Info

volume

  • 22

issue

  • 1