<prompt> Libman Sachs endocarditis seen in?Rheumatic feverSLEInfective endocarditisHypercoaguable states  <response>: Ans. is b i.e., SLE Ref: Robbins 9the p. 562 8the p. 569Libman Sacks endocarditis It is seen in SLE and is characterized by smallmedium sized, sterile, flat, Verrucous vegetations occurring on both atrial and ventricular surfaces of valve, which may extend to chordae tendinae and mural endocardium. They may also occur in pockets of valves. They may cause damage destruction of valve or myocardium but less destructive than vegetations of infective endocarditis. 