Author(s): Atwater BD, Ai Z, Wolff MR
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Abstract Myocarditis and pericarditis are identified at autopsy in up to 50\% of patients with systemic lupus erythematosus. However, clinical symptoms of heart failure are unusual, occurring in only 5\%-7\% of patients. Drug-induced lupus is rare and typically causes classic lupus symptoms of rash, fever, pleuritis, renal insufficiency, and arthritis. We present an unusual case of drug-induced lupus from chronic phenytoin use in a man who presented with symptoms of fulminant myopericarditis. To our knowledge, this is the first such case reported in English.
This article was published in WMJ
and referenced in Journal of Clinical Case Reports