Evidence map›Paper›PMID 41132399›Full record

ArticleOxford medical case reports2025

Cardiac tamponade as the initial manifestation of systemic lupus erythematosus in a young man: a case report.

Suraj Shrestha, Roshan Aryal, Roshan Ghimire, Anu Radha Twayana, Saurav Prajapati

Abstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Suraj ShresthaMaharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu 44600, Nepal.ORCID https://orcid.org/0000-0001-6888-260X
Roshan AryalDepartment of Radiology, Patan Academy of Health Sciences, Lagankhel, Lalitpur 44700, Nepal.ORCID https://orcid.org/0000-0002-4689-9264
Roshan GhimireDepartment of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu 44600, Nepal.
Anu Radha TwayanaKathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok 45210, Nepal.
Saurav PrajapatiDepartment of Surgery, Kathmandu Model Hospital, Bagbazar, Kathmandu 44600, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic lupus erythematosus (SLE) can affect multiple organs, and cardiac involvement, such as pericarditis, is common, while cardiac tamponade as an initial manifestation is rare. We report a 25-year-old male who presented with shortness of breath, chest pain, and orthopnea. Clinical findings and imaging revealed massive pericardial effusion with tamponade, requiring urgent pericardiocentesis. Autoimmune workup confirmed SLE with positive ANA and anti-dsDNA, and findings suggestive of myocarditis and renal involvement. He was treated with corticosteroids and hydroxychloroquine, with gradual clinical improvement. This case highlights the importance of considering SLE in young patients with unexplained cardiac tamponade, particularly when accompanied by systemic features and multi-organ involvement.

Indexed as

cardiac tamponadeimmunosuppressivespericardial effusionpericardiocentesissystemic lupus erythematosus

Identifiers

PMID41132399
PMCPMC12542977

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.