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Interferon related pericarditis: Review
Kazuaki Nishio1, Tsutomu Arase1, Hiroko Tada1
1Kazuaki Nishio, Tsutomu Arase, Hiroko Tada, Hideaki Tachibana, Department of Internal Medicine, Matsui Hospital, Tokyo 145-0082, Japan.
Aim:
To conduct a review of "interferon related pericarditis".
Methods:
We searched MEDLINE, EMBASE, Cinahl, and the Cochrane Database from the earliest available date through September 2016. A search strategy using the Medical Subject Headings and text keywords "interferon" and "pericarditis" were used.
Results:
Nine case reports were eligible for the present study. Six of 8 cases were women and the mean age was 43.8 ± 13.8 years with chronic hepatitis C in 6 cases, malignant melanoma in 2 cases and chronic myelogenous leukemia in 1 case. The patients complained of chest pain in 6 cases, dyspnea in 5 cases and edema in 2 cases. Pericardial friction rub was heard in 3 of 9 cases. Congestive heart failure occurred in 3 of 9 cases. Two mechanisms for pericarditis were demonstrated, one is autoimmune included lupus like syndrome in 2 cases and the other is cardio toxicity in 4 cases. Treatment of interferon related pericarditis is discontinuation of Interferon treatment. Four of 9 cases were treated with prednisone and 4 with nonsteroidal anti-inflammatory drugs.
Conclusion:
Interferon related pericarditis still remains uncertain. Treatment of interferon related pericarditis rests mainly on early recognition and drug discontinuation. Interferon related pericarditis was treated with steroid and/or nonsteroidal anti-inflammatory drugs.
Insights
Interferon-related pericarditis, a rare side effect, requires early recognition and discontinuation of interferon treatment. Management involves steroids or nonsteroidal anti-inflammatory drugs.
Area of Science:
- Cardiology
- Oncology
- Immunology
Background:
- Interferon therapy is associated with various side effects.
- Pericarditis, inflammation of the pericardium, can be a rare complication.
- Understanding interferon-related pericarditis is crucial for patient management.
Purpose of the Study:
- To review existing literature on interferon-related pericarditis.
- To identify characteristics, mechanisms, and treatment outcomes.
Main Methods:
- Systematic search of MEDLINE, EMBASE, Cinahl, and Cochrane Database.
- Keywords: "interferon" and "pericarditis".
- Inclusion of eligible case reports.
Main Results:
- Nine case reports were analyzed.
- Common symptoms included chest pain and dyspnea.
- Mechanisms involved autoimmune responses and cardiotoxicity.
- Treatment focused on interferon discontinuation, steroids, and NSAIDs.
Conclusions:
- Interferon-related pericarditis is an uncertain but recognized adverse event.
- Early diagnosis and cessation of interferon are key.
- Steroids and NSAIDs are common treatment modalities.
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