ReviewFrontiers in immunology2025
Acute pericarditis after ovarian stimulation in a patient with systemic lupus erythematosus: a case report and literature review.
Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Acute pericarditis is a clinical syndrome characterized by acute inflammation of the pericardium, which may result from various infectious or non-infectious etiologies. The characteristic clinical manifestations primarily encompass chest pain, classic electrocardiographic changes, and new or worsening pericardial effusion. Acute pericarditis may manifest independently or as a component of systemic disease. Systemic lupus erythematosus (SLE)-associated pericarditis typically occurs during active disease phase. Ovarian stimulation promotes ovulation and alters sex hormone levels, potentially triggering or exacerbating SLE. We report a 34-year-old woman with stable SLE who developed a disease flare, predominantly manifesting as acute pericarditis, following ovarian stimulation. Significant clinical improvement was observed following treatment with glucocorticoids, colchicine, and immunosuppressive agents. A literature review identified eight additional cases of SLE flares following ovarian stimulation, presenting with arthritis, rash, pericarditis, nephritis, or thrombotic events. Consequently, a comprehensive recurrence risk assessment and close monitoring of disease activity are recommended for SLE patients undergoing this fertility treatment.
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