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Related Concept Videos

Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

348
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
348
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

456
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
456
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

225
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
225
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

370
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
370
Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

274
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
274
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

456
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
456

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Flow Cytometry-Based Quantification and Analysis of Myocardial B-Cells
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Addison's disease presenting with perimyocarditis.

Elisa Baranski Lamback1, Grazia Morandi2, Eleni Rapti3

  • 1Internal Medicine and Endocrine Unit, Federal University of Rio de Janeiro, Rua Professor Rodolpho Paulo Rocco, Rio de Janeiro/RJ, Brazil.

Journal of Pediatric Endocrinology & Metabolism : JPEM
|December 19, 2017
PubMed
Summary

Polyglandular autoimmune syndrome (PGA) and eosinophilic granulomatosis with polyangiitis (EGPA) are linked. Autoimmune adrenal insufficiency should be considered in severe perimyocarditis cases.

Keywords:
Addison’s diseaseeosinophilic granulomatosis with polyangiitispolyglandular autoimmune syndrome

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Area of Science:

  • Internal Medicine
  • Rheumatology
  • Endocrinology

Background:

  • Polyglandular autoimmune syndrome (PGA) and eosinophilic granulomatosis with polyangiitis (EGPA) association is explored.
  • Investigating the link between autoimmune disorders.

Observation:

  • A 15-year-old male presented with severe systemic inflammation, perimyocarditis, and cardiogenic shock.
  • Initial suspicion of EGPA evolved to a diagnosis of autoimmune adrenalitis with PGA.

Findings:

  • The case suggests PGA and EGPA are not coincidental.
  • Severe systemic inflammation and perimyocarditis indicate a broader autoimmune process.

Implications:

  • Autoimmune adrenal insufficiency must be considered in pericarditis/perimyocarditis, especially with severe systemic symptoms.
  • Early diagnosis and treatment of autoimmune adrenal insufficiency can be life-saving.