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[Pericarditis and giant cell arteritis].

F J Nicolás Sánchez1, G Torres Cortada, R M Sarrat Nuevo

  • 1Servicio de Medicina Interna, Hospital de Santa María, Lleida. fnicolas@comll.cat

Anales De Medicina Interna (Madrid, Spain : 1984)
|October 28, 2006
PubMed
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Pericarditis, an uncommon sign of giant cell arteritis, was observed in a 69-year-old woman. Corticoid treatment effectively resolved her symptoms and pericardial effusion.

Area of Science:

  • Rheumatology
  • Cardiology
  • Internal Medicine

Background:

  • Giant cell arteritis (GCA) is a systemic vasculitis primarily affecting medium and large arteries.
  • Pericarditis is a rare but recognized complication of GCA.
  • This case highlights an unusual presentation of GCA in a patient with a history of rheumatic myalgia.

Observation:

  • A 69-year-old female patient with a history of rheumatic myalgia presented with constitutional symptoms including mild fever, dry cough, anorexia, and abdominal pain.
  • Echocardiography revealed pericardial effusion.
  • Infectious and neoplastic causes for the effusion were excluded through comprehensive investigations.

Findings:

  • The patient was diagnosed with pericarditis secondary to giant cell arteritis.

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  • Initiation of corticoid therapy led to rapid symptomatic improvement.
  • Complete resolution of the pericardial effusion was achieved within three months of treatment.

    • Implications:

    • This case underscores the importance of considering GCA in the differential diagnosis of pericarditis, especially in older adults with constitutional symptoms.
    • Early diagnosis and treatment of GCA-associated pericarditis with corticosteroids can lead to favorable outcomes.
    • Further research may elucidate the specific mechanisms linking GCA and cardiac involvement.