Hemorrhagic Tamponade as Initial Manifestation of Systemic Lupus with Subsequent Refractory and Progressive Lupus Myocarditis Resulting in Cardiomyopathy and Mitral Regurgitation

系统性红斑狼疮的首发表现为出血性心包填塞，随后出现难治性进行性狼疮性心肌炎，最终导致心肌病和二尖瓣反流。