ナンケ　ユキ   Nanke Yuki   南家　由紀    所属   看護学部 看護学科    職種   教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Systemic lupus erythematosus with myocardial dysfunction due to microvasculopathy.
掲載誌名	正式名：Lupus 略　 称：Lupus ISSNコード：(0961-2033)0961-2033(Linking)
掲載区分	国外
巻・号・頁	9(6),pp.464-7
著者・共著者	Nanke Y, Kotake S, Shimamoto K, Fukasawa C, Hara M, Kamatani N
発行年月	2000
概要	A 25-year-old Japanese woman with systemic lupus erythematosus (SLE) had myocardial dysfunction. Heart catheterization showed normal coronary anatomy. Left ventricular cineangiography demonstrated hypokinesis in the anterior and posterior segments. Myocardial scintigraphy revealed patchy defects in the regions unrelated to coronary arteries. These data suggested that the myocardial dysfunction was due to microvasculopthy. In addition, it was speculated that the microvasculopathy was caused by vasculitis but not by thrombi, since she did not have antiphospholipid syndrome. In support of this speculation, corticosteroid therapy without any thrombolytic agents was effective. This report represents the first live patient with SLE in whom myocardial dysfunction due to microvasculopathy has been demonstrated.
DOI	10.1191/096120300678828497
PMID	10981653