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[Chronic pericarditis in Hodgkin disease]
Zsófia Miltényi1, Lajos Gergely, Arpád Illés
1Debreceni Egyetem Orvos- és Egészségtudományi Centrum, Altalános Orvostudományi Kar, III. sz. Belgyógyászati Klinika.
Orvosi Hetilap
|December 28, 2002
Summary
Late cardiac complications, including chronic constrictive pericarditis, can arise after Hodgkin's disease treatment. Early recognition through patient follow-up is key to managing these rare but serious cardiovascular issues.
Area of Science:
- Cardiology
- Oncology
- Medical Imaging
Background:
- Cardiovascular complications are significant late sequelae of Hodgkin's disease treatment.
- Chronic pericardial disease, occurring later than 48 months post-treatment, affects 11-50% of patients with a history of irradiation.
Observation:
- A case of chronic constrictive pericarditis is presented as a rare late consequence of Hodgkin's disease therapy.
- A 35-year-old male, treated for Hodgkin's disease with chemotherapy and irradiation, developed pericardial effusion despite remission.
- Differential diagnoses included radiation-induced pericarditis, hypothyroidism, and primary disease manifestation.
Findings:
- Histological evaluation confirmed chronic constrictive pericarditis, likely induced by mediastinal irradiation.
- The patient underwent partial pericardiectomy after repeated pericardial fenestration.
- Post-surgery, the patient has remained well with no recurrence of pericardial fluid or disease relapse.
Implications:
- The case highlights the importance of diligent patient follow-up for early detection and management of late treatment complications.
- Modern radiotherapy techniques may help in avoiding such late-onset cardiovascular complications in Hodgkin's disease patients.