Presentation
Recurrence was documented in patients who presented typical chest pain and 1 or more of the following signs: fever, rubs, electrocardiographic changes, pericardial effusion, increase of acute phase reactants. [ped-rheum.biomedcentral.com]
Introduction Case Presentation: A 56-year-old previously healthy man presented with 2 days of pleuritic left anterior chest pain, lessened by sitting forward. [ahajournals.org]
Fulminant clinical tamponade presents with symptoms that depend on its etiology. [textbookofcardiology.org]
Case Presentation: Here, we describe a 34 year-old female admitted with five days of worsening left sided pleuritic chest pain and shortness of breath. [shmabstracts.com]
Workup
Similar negative workup occurs in approximately 80% of all cases. [shmabstracts.com]
The objective of this article is to review the etiology, workup, and treatment for this disease, especially new, emerging therapeutic options. [dovepress.com]
Treatment
Colchicine is the standard treatment for FMF, while patients with TRAPS do not respond to colchicine therapy, but are responsive to corticosteroids. [ncbi.nlm.nih.gov]
( 28746150 ) Ozturk K....Ekinci Z. 2017 6 Treatment of Adults with Idiopathic Recurrent Pericarditis: Novel Use of Immunotherapy. ( 28079270 ) Schwier N.C....Davies M.L. 2017 7 Usefulness of Novel Immunotherapeutic Strategies for Idiopathic Recurrent [malacards.org]
Prognosis
The overall life prognosis is excellent in idiopathic recurrent pericarditis and complications are uncommon. [ncbi.nlm.nih.gov]
Prognosis of the disease is excellent, as severe complications are rare. [textbookofcardiology.org]
The prognosis depends on many factors, although in most cases with appropriate treatment, it is good Pericarditis, in some cases, can become a chronic issue. [dovemed.com]
( 19116906 ) Picco P....Martini A. 2009 25 Idiopathic recurrent pericarditis refractory to colchicine treatment can reveal tumor necrosis factor receptor-associated periodic syndrome. ( 20074469 ) Cantarini L....Galeazzi M. 2009 26 Prognosis of idiopathic [malacards.org]
Etiology
In developed countries, the idiopathic form is the most frequent, and the search for an infectious etiology is almost invariably negative. [ncbi.nlm.nih.gov]
Conclusions: The underlying etiology of idiopathic recurrent acute pericarditis remains controversial, as it may be a cross of infectious, autoimmune, or autoinflammatory etiologies. [shmabstracts.com]
Epidemiology
[…] antibiotics to treat tuberculosis or other bacterial causes. steroids are used in acute pericarditis but are not favored because they increase the chance of recurrent pericarditis. in rare cases, surgery in cases of constrictive pericarditis, pericardiectomy Epidemiology [en.wikipedia.org]
“Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research.” J Bone Miner Res, 2011, 26: 2317-2337. [pubs.sciepub.com]
Pathophysiology
We herein review the current available reports regarding the evidence regarding the pathophysiology and reported cases and case series of IRP cases managed with immunomodulation therapy. Copyright © 2016 Elsevier Inc. All rights reserved. [ncbi.nlm.nih.gov]
[…] pericardium characterized by chest pain, pericardial friction rub and serial ECG changes Terminology Idiopathic pericarditis Acute pericarditis Chronic pericarditis Chronic effusive pericarditis and chronic constrictive pericarditis Recurrent pericarditis Pathophysiology [pathologyoutlines.com]
Complicated pericarditis: understanding risk factors and pathophysiology to inform imaging and treatment. J Am Coll Cardiol. 2016;68:2311-2328. Available at: http://www.sciencedirect.com/science/article/pii/S0735109716353207. Dr. [physiciansweekly.com]
Masters SL, Simon A, Aksentijevich I, Kastner DL (2009) Horror autoinflammaticus: the molecular pathophysiology of autoinflammatory disease. Annu Rev Immunol 27:621–668 PubMed CrossRef 29. [springermedizin.de]
Prevention
Therapeutic strategies are not standardised, non-steroidal anti-inflammatory drugs at high dosages being the mainstay of therapy with the possible addition of low dose colchicine to prevent recurrences. [ncbi.nlm.nih.gov]
Sometimes, more intense treatment is needed to prevent complications. Recovery from pericarditis may take a few days to weeks or even months. [heart.org]