A case of Libman-Sacks endocarditis confused with infective endocarditis / 대한내과학회지

ABSTRACT

The nonbacterial valvular and mural verrucous endocarditis known as Libman-Sacks endocarditis is found in 40~60% of patients with systemic lupus erythematosus. the Libman-Sacks endocarditis mostly affects the mitral and aortic valves and frequently displays valvular dysfunction. In rare cases, the Libman-Sacks endocarditis can embolize and cause stroke syndrome. We report a case of Libman-Sacks endocarditis confused with infective endocarditis because its clinical manifestations were very similar to those of infective endocarditis. We confirmed systemic lupus erythematosus with Libman-Sacks endocarditis by means of serology and successfully treated patient with steroid.