<prompt> A 22 year female comes with complains of dyspnea and palpitations since 4 years shows verrucous vegetations of mitral valve. The condition is due to?Libman Sachs endocarditisRheumatic endocarditisNon bacterial endocarditisInfective endocarditis  <response>: Libman-Sacks endocarditis often misspelled Libmann-Sachs is a form of nonbacterial endocarditis that is seen in association with systemic lupus erythematosus. It is one of the most common hea-related manifestations of lupus the most common being pericarditis . Ref Davidson 23rd edition pg 453 