case_images: PMC9888418_01
case_images: Erythematous rash noted at the anterior nasal bridge and cheeks in a butterfly distribution sparing the nasolabial folds, and several raised, hyperpigmented, round lesions noted to the hairline and eyebrows
case_images: cureus-0015-00000034447-i01.jpg
case_images: PMC9888418_01_cureus-0015-00000034447-i01.jpg
case_images: FIG1
case_images: She was found to have mild peri-orbital edema, an erythematous rash to the anterior nasal bridge and cheeks in a butterfly distribution sparing the nasolabial folds, and several raised, hyperpigmented round lesions noted to the hairline, eyebrows anterior aspect of the chest, posterior neck, and scalp (Figures 1-2).
case_images: Several raised, hyperpigmented, round lesions noted on the hairline and eyebrows
case_images: cureus-0015-00000034447-i02.jpg
case_images: PMC9888418_01_cureus-0015-00000034447-i02.jpg
case_images: FIG2
case_images: She was found to have mild peri-orbital edema, an erythematous rash to the anterior nasal bridge and cheeks in a butterfly distribution sparing the nasolabial folds, and several raised, hyperpigmented round lesions noted to the hairline, eyebrows anterior aspect of the chest, posterior neck, and scalp (Figures 1-2).
case_images: EKG demonstrating sinus tachycardia with low voltage QRS and few premature ventricular complexes
case_images: cureus-0015-00000034447-i03.jpg
case_images: PMC9888418_01_cureus-0015-00000034447-i03.jpg
case_images: FIG3
case_images: An electrocardiogram revealed sinus tachycardia with low voltage QRS and few premature ventricular complexes (Figure 3).
case_images: Apical view of the heart by 2D-echocardiogram with the presence of moderate to large pericardial effusion (PE) and underfilled left (LV) and right ventricle (RV). The left atrium is not shown because it collapsed.
case_images: cureus-0015-00000034447-i04.jpg
case_images: PMC9888418_01_cureus-0015-00000034447-i04.jpg
case_images: FIG4
case_images: Subsequently, a formal cardiac echocardiogram was performed, which showed a normal left ventricular (LV) cavity with an ejection fraction of around 55% to 60%, mild LV hypertrophy, moderate to severe tricuspid regurgitation, right ventricular systolic pressure of 85-90 mmHg, and a large pericardial effusion with a respiratory variation of mitral inflow and compression of the right atrium suggesting tamponade physiology (Figures 4-5).
case_images: Long-axis view of the heart by 2D-echocardiogram with the confirmed presence of moderate to large pericardial effusion (PE), with clear compression of the left ventricle (LV) and left atrium (LA) collapse
case_images: cureus-0015-00000034447-i05.jpg
case_images: PMC9888418_01_cureus-0015-00000034447-i05.jpg
case_images: FIG5
case_images: Subsequently, a formal cardiac echocardiogram was performed, which showed a normal left ventricular (LV) cavity with an ejection fraction of around 55% to 60%, mild LV hypertrophy, moderate to severe tricuspid regurgitation, right ventricular systolic pressure of 85-90 mmHg, and a large pericardial effusion with a respiratory variation of mitral inflow and compression of the right atrium suggesting tamponade physiology (Figures 4-5).