Pericardial tamponade in a patient with polymyalgia rheumatica

Autor: E, Calvo, E, Becerra, F J, López-Longo, F J, Cabrera, L, Carreño, A, Paravisini, M, Cebollero, B, Pinilla, A, Muiño
Rok vydání: 2009
Předmět:
Zdroj: Clinical and experimental rheumatology. 27(1 Suppl 52)
ISSN: 0392-856X
Popis: We report a patient who developed pericarditis and pericardial tamponade coinciding with polymyalgia rheumatica onset. Our patient did not show any clinical sign of vasculitis; temporal artery biopsies were negative for giant cell arteritis. Pericardial biopsy in our case shows inflammatory perivascular lymphocytary infiltrates thus we believe pericardial effusion has an inflammatory-immunologic origin. Cardiac manifestations are exceptional in polymyalgia rheumatica, though it should be considered in the differential diagnosis in patients with pericarditis over 50 years. The recognition of this uncommon manifestation is very important due to the good response to corticosteroid treatment.
Databáze: OpenAIRE