This patient has systemic lupus erythematosus.Thus, these vegetations that can be on any valve or even on endocardial surfaces are consistent with Libman-Sacks endocarditis.

• 本例病人患有系统性红斑狼疮，这类赘生物可见于任何瓣膜乃至心内膜上，并且在形态上与Libman-Sacks心内膜炎的赘生物一致。