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[Myocardiopericarditis in adult still's disease]
Manuel Horna N1, Rubén Romero1, César Larrauri1
1Servicio de Cardiología, Clínica Delgado - AUNA; Lima, Perú Servicio de Cardiología Clínica Delgado - AUNA Lima Perú.
Insights
Adult-onset Still's Disease (AOSD) cardiac involvement is typically benign pericarditis. This case highlights a rare, unusual presentation involving both myocardial and pericardial disease in AOSD.
Area of Science:
- Rheumatology
- Cardiology
- Internal Medicine
Background:
- Adult-onset Still's Disease (AOSD) commonly presents with pericardial involvement, usually self-limiting.
- Myocarditis is a rare complication of AOSD, affecting approximately 7% of patients.
- Diagnosis relies on established criteria like Yamaguchi or Fautrel.
Abstract:
Cardiac involvement in Adult-onset Still's Disease (AOSD) usually manifests as a pericardial disease, that has a benign course. The myocarditis is a rare complication with 7% of prevalence. The diagnosis of AOSD is based in the Yamaguchi or Fautrel criteria. The treatment with steroids and methotrexate is the first and second therapeutic lines, respectively, the combination is effective in 70% of cases. We report a case of AOSD with unusual presentation due to myocardial and pericardial commitment.
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