Multiple coronary aneurysms and acute myocardial infarction in a female patient with rhupus: case report and literature review

Cardiac magnetic resonance assessment of cardiac involvement in autoimmune diseases

“…In the setting of myocarditis in SLE, the “age” of injury can be estimated on CMR with the presence of T2 and early gadolinium enhancement suggesting an acute process, and their normalization but persistence of LGE suggesting sub-acute or chronic stages of myocardial inflammation ( 38 , 64 , 65 ). The application of LGE CMR allows the detection of myocardial necrosis as reported in patients with vasculitis ( 10 , 66 ) and SLE ( 67 , 68 ).…”

“…In the absence of epicardial coronary stenosis, an abnormal coronary flow reserve causes an impaired coronary microcirculation and is associated with a negative prognosis ( 72 ). Up to 40% of women with SLE with no history of coronary artery disease showed abnormal myocardial perfusion ( 66 – 68 ). Coronary dissection and coronary artery aneurysms may occur in patients with SLE ( 73 ).…”

18F-FDG PET/CT Reveals Localized Inflammation in Lupus Enteritis

“…Lupus enteritis is classified into the colon poly-ulcerative type and the small intestine ischemic serositis type 2 . There are many reports on the usefulness of FDG PET and PET/CT for evaluating lesions in the central nervous system, 3–18 coronary arteries, 19,20 myocarditis, 21–26 pericarditis, 27 lymph nodes or spleen, 28–37 mesenteric panniculitis, 38 cutaneous panniculitis, 39 pulmonary arterial hypertension, 40 nephritis, 4 bilateral mass-forming extramedullary hematopoiesis, 41 pulmonary amyloidoma, 42 organized pneumonia, 43 and aortitis 44 in patients with SLE, and several reviews were reported 45–47 . However, few nuclear medicine studies for lupus enteritis have been reported, including one report that involved 99m Tc-pyrophosphate 48 .…”