Abstract
A 24-year-old woman was admitted to the hospital because of massive persistent asymptomatic pericardial effusion. Six months earlier, she had visited her rheumatologist because of polyarthralgias suggesting systemic lupus erythematosus. She had never complained of dyspnoea or cough. On echocardiography, a large, homogeneous pericardial effusion, ‘swinging heart’-type, was found (see Supplementary material, Movie …
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