40-year-old African man presented with typical anginal pain and cutaneous swelling. Examination revealed had corneal arcus, multiple tendon xanthomas and xanthelasmas. The investigation panel showed dyslipidemia with very high total cholesterol of 642.3 mg/dl, very high low-density lipoprotein of 531 mg/dl, low high-density lipoprotein of 36.7 mg/dl and high triglyceride of 248.1 mg/dl and he had a positive stress test....

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease characterized by multisystem inflammation, and is a common cause of pericarditis and pericardial effusion, but significant pericardial effusion and cardiac tamponade are rare and even rarer as the first manifestation. We report the case of a young male who presented with fever, recurrent pericarditis and polyserositis with pericardial and bilateral pleural effusion....