Cardiac tamponade as a manifestation of severe dermatomyositis
| Autor: | Benjamin Kurth, Vanya D. Wagler, Michael P. Keith |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
030203 arthritis & rheumatology
Tachycardia medicine.medical_specialty business.industry medicine.medical_treatment Interstitial lung disease General Medicine 030204 cardiovascular system & hematology Dermatomyositis medicine.disease Pericardial effusion Article Pericardial window 03 medical and health sciences 0302 clinical medicine Effusion Internal medicine Cardiac tamponade medicine Cardiology medicine.symptom business Rare disease |
| Zdroj: | BMJ Case Reports. :bcr2016216860 |
| ISSN: | 1757-790X |
| Popis: | In connective tissue disorders, the incidence of pericardial disease and pericardial effusion can be up to 58%, and if untreated, it can lead to cardiac tamponade which can be fatal. Physicians must have a high index of suspicion for this disease as diagnosis can be delayed while evaluating more common causes of tachycardia and hypotension in the immunosuppressed (ie, sepsis). We present a 55-year-old woman with a severe case of dermatomyositis, marked by significant weight loss, a bedridden state and hallmark cutaneous findings. On evaluation of interstitial lung disease, a pericardial effusion was incidentally noted. Serial examination revealed increasing fluid accumulation and progressive tachycardia, and diagnosis of cardiac tamponade was made on echocardiography. After initial pericardiocentesis, the effusion rapidly re-accumulated requiring a pericardial window. In severe presentations of rheumatic disease, cardiac tamponade should be considered as a cause of tachycardia, with or without associated hypotension. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|