Corticosteroids and immunosuppressive agents for idiopathic recurrent pericarditis
نویسندگان
چکیده
منابع مشابه
Treatment of acute and recurrent idiopathic pericarditis.
A 56-year-old previously healthy man presented with 2 days of pleuritic left anterior chest pain, lessened by sitting forward. His examination was pertinent for low-grade fever (37.6°C), blood pressure 122/76 mm Hg without paradox, no jugular venous distension, clear lungs, and a 3-component pericardial friction rub. The ECG showed diffuse concave-upward ST-segment elevation and PR-segment depr...
متن کاملRecurrent Pericarditis
It occurs in 15% to 32% of cases and the cause of the recurrence is usually unknown, although in some cases it may be traced to viral infection or may be a consequence of coronary artery bypass grafting1. The optimal method for prevention has not been fully established; accepted modalities include nonsteroidal anti-inflammatory drugs, corticosteroids, colchicines, immunosuppressive agents, and ...
متن کاملCorticosteroids for recurrent pericarditis: high versus low doses: a nonrandomized observation.
BACKGROUND Corticosteroid use is widespread in recurrent pericarditis, even if rarely indicated, and high doses (eg, prednisone 1.0 to 1.5 mg . kg(-1) . d(-1)) are generally recommended, although only weak evidence supports their use with possible severe side effects. The aim of this work was to compare side effects, recurrences and other complications, and hospitalizations of a low- versus hig...
متن کاملCorticosteroids for recurrent pericarditis: on the road to evidence-based medicine.
We have known for decades that acute pericarditis may recur after apparent cure.1 In spite of recent advances, recurrence, after an initial attack of acute pericarditis, remains a challenge for many reasons. For example, the exact rate of recurrence is not known because many, if not most, cases go unreported, especially those that have a benign course and respond quickly and completely to a non...
متن کاملAnti-heart and anti-intercalated disk autoantibodies: evidence for autoimmunity in idiopathic recurrent acute pericarditis.
BACKGROUND Idiopathic recurrent acute pericarditis (IRAP) is a rare disease of suspected, yet unproved, immune-mediated origin. The finding of serum heart-specific autoantibodies in IRAP would strengthen the autoimmune hypothesis and provide aetiology-specific non-invasive biomarkers. Objective To assess frequency of serum anti-heart (AHA), anti-intercalated-disk (AIDA) and non-cardiac-specific...
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ژورنال
عنوان ژورنال: Autoimmunity Reviews
سال: 2019
ISSN: 1568-9972
DOI: 10.1016/j.autrev.2019.04.001