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[Pericarditis is inflammation of the pericardium, which rheumatologists should know]

M Krusche1, U Schneider2, N Ruffer3

  • 1Medizinische Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland. martin.krusche@charite.de.

Zeitschrift Fur Rheumatologie
|November 20, 2020
PubMed

Insights

Pericarditis, inflammation of the heart

Area of Science:

  • Cardiology
  • Rheumatology
  • Immunology

Background:

  • Pericarditis involves inflammation of the pericardium, potentially leading to pericardial effusion and myocardial involvement (perimyocarditis).
  • It can occur with systemic rheumatic diseases or as a distinct entity.
  • Idiopathic recurrent pericarditis (IRP) presents as relapsing pericarditis of unknown cause, sharing traits with autoinflammatory diseases.

Purpose of the Study:

  • To review the incidence of pericarditis in systemic rheumatic diseases.
  • To explore the clinical features and underlying mechanisms of idiopathic recurrent pericarditis.
  • To outline treatment strategies for acute and idiopathic pericarditis.

Main Methods:

  • Literature review on pericarditis frequency in rheumatic diseases.
  • Analysis of clinical manifestations and pathophysiology of IRP.
  • Summary of current therapeutic guidelines for acute and idiopathic pericarditis.

Main Results:

  • Pericarditis is observed in various systemic rheumatic conditions.
  • IRP exhibits characteristics aligning with autoinflammatory conditions.
  • Established therapeutic algorithms exist for acute and idiopathic pericarditis.

Conclusions:

  • Understanding pericarditis in rheumatic diseases is crucial.
  • IRP represents a distinct clinical entity with autoinflammatory features.
  • Standardized treatment approaches are available for acute and idiopathic pericarditis.

Keywords:
Anti-inflammatory therapyAutoinflammationColchicinIdiopathic recurrent pericarditisPericarditis

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