Cardiac Tamponade: A Life-Threatening Complication of Still's Disease
作者:
Ferhana Najam,
Howard Fuchs,
期刊:
JCR: Journal of Clinical Rheumatology
(OVID Available online 2001)
卷期:
Volume 7,
issue 2
页码: 97-101
ISSN:1076-1608
年代: 2001
出版商: OVID
关键词: Still's disease;Juvenile rheumatoid arthritis;Cardiac tamponade;Pericarditis
数据来源: OVID
摘要:
Pericarditis, a common feature of adult-onset and juvenile-onset Still's disease, is rarely complicated by cardiac tamponade. We report one patient with juvenile-onset and another with adult-onset Still's disease presenting with pericardial tamponade. On the basis of our experience and analysis of literature, we suggest early identification of pericarditis and the life-threatening complication of tamponade, with institution of aggressive intervention with corticosteroids and, if necessary, pericardiocentesis and pericardial window formation. These cases remind physicians about the need to include Still's disease in the differential diagnosis of pericarditis and tamponade and to not neglect the potential of severe systemic inflammation to lead to fatal complications in this group of patients.
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