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Cardiac tamponade due to haemorrhagic effusion: an unusual first manifestation of systemic lupus erythematosus
  1. F Y Chong,
  2. M Healy,
  3. K H Soon
  1. Correspondence to Dr Fei Yoong Chong; feiyon{at}

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A 31-year-old woman with hypothyroidism on thyroxine replacement presented with a 1-month history of pleuritic chest pain, worsening dyspnoea and fever. She was ill-looking, with a temperature of 38.7°C, blood pressure of 92/50 mmHg and heart rate of 106/min. Cardiac examinations revealed pericardial rub, presence of pulsus paradoxus and elevated jugular venous pressure.

Chest radiograph revealed cardiomegaly (see figure …

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