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Published on: March 1, 2022
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Recurrent pericarditis in an adolescent with Crohn's colitis
Bibhuti B Das1, Morgan Dodson1, Angel Guzman1
1Division of Pediatric Cardiology, Texas Children's Hospital, Austin Specialty Care, Austin, Texas, USA.
Annals of Pediatric Cardiology
|September 1, 2020
Summary
Recurrent pericarditis is a rare complication in pediatric Crohn's disease patients even during remission. Physicians should consider pericardial involvement in IBD patients presenting with chest pain.
Area of Science:
- Cardiology
- Gastroenterology
- Pediatrics
Background:
- Inflammatory bowel disease (IBD), including Crohn's disease, frequently presents with extraintestinal manifestations.
- Pericardial involvement is an uncommon complication of IBD, particularly during periods of clinical remission.
Observation:
- A 13-year-old male with a history of Crohn's colitis experienced recurrent pericarditis.
- The patient had been in remission for four years following treatment with infliximab, adalimumab, and vedolizumab.
Findings:
- This case highlights a rare instance of recurrent pericarditis in a pediatric patient with Crohn's disease in remission.
- Review of literature emphasizes the importance of recognizing pericardial involvement in IBD patients.
Implications:
- Clinicians should maintain a high index of suspicion for pericardial complications in pediatric IBD patients, even during remission.
- Effective management strategies for recurrent pericardial effusion in this population warrant further investigation.
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