Abstract
Clinical and morphologic observations in three patients with systemic lupus erythematosus and severe mitral regurgitation are described. Attention is called to the “healing” of Libman-Sacks endocarditis, an infrequent occurrence in patients with systemic lupus erythematosus in the era before steroid therapy. The mitral regurgitation in our patients appears to have resulted from “healing” of the Libman-Sacks vegetations by scarring and calcification. The healing is attributed to longterm corticosteroid therapy.
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