AI Article Synopsis
- A middle-aged woman with rheumatoid arthritis suffered from pericarditis that didn't improve with increased immunosuppressive treatment, leading to repeated hospitalizations for heart failure.
- Imaging tests showed only a small amount of fluid around the heart but indicated a thickened pericardium, prompting further investigation.
- Pathology results revealed cholesterol pericarditis, a rare condition, highlighting that it can occur with little fluid accumulation and can quickly lead to serious heart issues.
Article Abstract
A middle-aged woman with rheumatoid arthritis presented with treatment-refractory pericarditis. Symptoms persisted despite escalation of immunosuppression, and she had recurrent admissions for heart failure. Imaging revealed minimal pericardial effusion and a thickened pericardium. Invasive hemodynamics confirmed constrictive physiology, and a pericardiectomy was required. Pathology testing confirmed cholesterol pericarditis, a rare condition of inflammatory cholesterol deposits within the pericardium. Previous reports describe moderate-to-large volumes of gold-coloured pericardial fluid. This case illustrates that cholesterol pericarditis can present with minimal pericardial effusion and rapidly progress to pericardial constriction.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843891 | PMC |
| http://dx.doi.org/10.1016/j.cjco.2021.09.018 | DOI Listing |
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