PMID- 36739118 OWN - NLM STAT- MEDLINE DCOM- 20230208 LR - 20230208 IS - 2173-5743 (Electronic) IS - 2173-5743 (Linking) VI - 19 IP - 2 DP - 2023 Feb TI - Systemic lupus erythematosus myocarditis after COVID-19 vaccination. PG - 114-116 LID - S2173-5743(23)00012-6 [pii] LID - 10.1016/j.reumae.2022.06.006 [doi] AB - INTRODUCTION: Cases of acute myocarditis have been after administration of the BNT162b2 and Ad26.COV2.S vaccine. OBJECTIVE: Describe another possible mechanism of myocarditis after COVID-19 vaccination. CASE PRESENTATION: We describe the clinical case of a 72-year-old female with pleuritic chest pain one week after the third of the BNT162b2 mRNA vaccine. Serological tests for cardiotropic pathogens were negative, and autoimmunity screening was positive with anti-nuclear antibody (ANA) in 1:160 dilution, Anti-double-stranded DNA (anti-dsDNA), and anti-histone antibodies. (18)F-fluoro-deoxy-glucose (FDG) positron emission tomography/computed tomography (PET/CT) showed a focal myocardial and pericardial inflammatory process in the cardiac apex. RESULTS AND DISCUSSION: Systemic lupus erythematosus (SLE) diagnosis was made with myocardial affection. As far as we know, this is the first report of a case of lupus myocarditis after the COVID-19 vaccine. CONCLUSION: Given the pathogenic rationales, the association between SLE and myocarditis should be considered. CI - Copyright (c) 2022 Elsevier Espana, S.L.U. and Sociedad Espanola de Reumatologia y Colegio Mexicano de Reumatologia. All rights reserved. FAU - Sogbe, Miguel AU - Sogbe M AD - Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain. Electronic address: msogbe@unav.es. FAU - Blanco-Di Matteo, Andres AU - Blanco-Di Matteo A AD - Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain. FAU - Di Frisco, I Madeleine AU - Di Frisco IM AD - Pulmonary Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain. FAU - Bastidas, Juan Fernando AU - Bastidas JF AD - Nuclear Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain. FAU - Salterain, Nahikari AU - Salterain N AD - Department of Cardiology, Clinica Universidad de Navarra, Pamplona, Spain. FAU - Gavira, Juan Jose AU - Gavira JJ AD - Department of Cardiology, Clinica Universidad de Navarra, Pamplona, Spain. LA - eng PT - Case Reports PL - Spain TA - Reumatol Clin (Engl Ed) JT - Reumatologia clinica JID - 101717526 RN - JT2NS6183B (Ad26COVS1) RN - 0 (Antibodies, Antinuclear) RN - 0 (BNT162 Vaccine) RN - 0 (COVID-19 Vaccines) SB - IM MH - Aged MH - Female MH - Humans MH - Ad26COVS1 MH - Antibodies, Antinuclear MH - BNT162 Vaccine MH - *COVID-19/prevention & control MH - *COVID-19 Vaccines/adverse effects MH - *Lupus Erythematosus, Systemic/diagnosis MH - *Myocarditis/diagnosis/etiology MH - Positron Emission Tomography Computed Tomography MH - Vaccination PMC - PMC9892927 OTO - NOTNLM OT - ARN mensajero BNT162B2 OT - BNT162B2 messenger RNA OT - COVID-19 vaccination OT - Lupus eritematoso sistemico OT - Miocarditis OT - Myocarditis OT - Systemic lupus erythematosus OT - Vacunacion COVID-19 EDAT- 2023/02/05 06:00 MHDA- 2023/02/08 06:00 PMCR- 2023/02/02 CRDT- 2023/02/04 20:57 PHST- 2022/04/11 00:00 [received] PHST- 2022/06/27 00:00 [accepted] PHST- 2023/02/04 20:57 [entrez] PHST- 2023/02/05 06:00 [pubmed] PHST- 2023/02/08 06:00 [medline] PHST- 2023/02/02 00:00 [pmc-release] AID - S2173-5743(23)00012-6 [pii] AID - 10.1016/j.reumae.2022.06.006 [doi] PST - ppublish SO - Reumatol Clin (Engl Ed). 2023 Feb;19(2):114-116. doi: 10.1016/j.reumae.2022.06.006.