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Cardiovascular system (CVS) disease is the third leading cause of mortality in systemic lupus erythematosus (SLE).1 Pathologically it is pancarditis and may affect coronary arteries.2,3 Most often, it is subclinical.2–4 Clinical manifestations, if present, are limited to pericardial and endocardial involvement.2 Clinically apparent myocarditis has been described in a few adult patients.5–9 To the best of our knowledge, no such case has been described in children. We describe two children with clinically manifest myocarditis in SLE.
A 12 year old girl, who was known to have had SLE for 2 months, presented with fever, malar rash, and photosensitivity. She had stopped taking steroids for 2 weeks. On examination, she had tachycardia with normal blood pressure. She had pallor, alopecia, oral ulcers, and malar rash. An examination …
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