S Dhar Department of Dermatology, Calcutta National Medical and Hospital, Calcutta
Source of Support: None, Conflict of Interest: None
ABSTRACT: A very rare case of systemic lupus erythematosus (SLE) with transient myocardial infarction and functional left ventricular aneurysm demonstrated by echocardiography is presented. To our knowledge this is the first reported case of SLE with this rare cardic complication. The propable cause of myocardial infection was thought to be coronary vasculitis as the patient was on corticosteroid for only one month prior to the acute episode of myocardial infraction and improved successfully on increasing the dose of steroid following the acute episode. But the Electrocardiographic finding of acute myocardial infarction changed subsequently into myocardial ischaemia during follow up Electrocardiography. There was uneventful recovery of the patient and the dose of corticosteroid was gradually tapered.