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Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report

BACKGROUND: Cholesterol pericarditis (CP) is a special type of pericarditis. It is characterized by chronic pericardial effusion with high cholesterol concentration and with or without the formation of crystals in pericardial effusion. METHODS: In this case report, we described a 74-year-old male wi...

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Autores principales: Qian, Lin-Yan, Pang, Jie, Che, Xian-Da, Ding, Ya-Hui, Zou, Hai, Zhou, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591155/
https://www.ncbi.nlm.nih.gov/pubmed/27858907
http://dx.doi.org/10.1097/MD.0000000000005305
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author Qian, Lin-Yan
Pang, Jie
Che, Xian-Da
Ding, Ya-Hui
Zou, Hai
Zhou, Bing
author_facet Qian, Lin-Yan
Pang, Jie
Che, Xian-Da
Ding, Ya-Hui
Zou, Hai
Zhou, Bing
author_sort Qian, Lin-Yan
collection PubMed
description BACKGROUND: Cholesterol pericarditis (CP) is a special type of pericarditis. It is characterized by chronic pericardial effusion with high cholesterol concentration and with or without the formation of crystals in pericardial effusion. METHODS: In this case report, we described a 74-year-old male with massive pericardial effusion. He presented with no symptoms. However, he had 8-year history of rheumatoid arthritis medicated with methotrexate, celecoxib, and prednisone, and 5-year history of hypertension medicated with amlodipine besylate. On admission, transthoracic echocardiography revealed a large pericardial effusion. RESULTS: We performed pericardiocentesis for this patient and a lot of cholesterol crystals were found in pericardial effusion under the microscope. A successful operation of thoracoscopic pericardiectomy was proceeded, and the diagnosis was confirmed by surgical pathology. The patient was well recovered and discharged on the tenth day after surgery. It could be predicted that pericardiectomy under video-assisted thoracoscope could be a promising therapy for CP. CONCLUSION: Rheumatoid arthritis may cause CP with no symptoms. Pericardiectomy could be a promising therapy for CP.
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spelling pubmed-55911552017-09-15 Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report Qian, Lin-Yan Pang, Jie Che, Xian-Da Ding, Ya-Hui Zou, Hai Zhou, Bing Medicine (Baltimore) 3400 BACKGROUND: Cholesterol pericarditis (CP) is a special type of pericarditis. It is characterized by chronic pericardial effusion with high cholesterol concentration and with or without the formation of crystals in pericardial effusion. METHODS: In this case report, we described a 74-year-old male with massive pericardial effusion. He presented with no symptoms. However, he had 8-year history of rheumatoid arthritis medicated with methotrexate, celecoxib, and prednisone, and 5-year history of hypertension medicated with amlodipine besylate. On admission, transthoracic echocardiography revealed a large pericardial effusion. RESULTS: We performed pericardiocentesis for this patient and a lot of cholesterol crystals were found in pericardial effusion under the microscope. A successful operation of thoracoscopic pericardiectomy was proceeded, and the diagnosis was confirmed by surgical pathology. The patient was well recovered and discharged on the tenth day after surgery. It could be predicted that pericardiectomy under video-assisted thoracoscope could be a promising therapy for CP. CONCLUSION: Rheumatoid arthritis may cause CP with no symptoms. Pericardiectomy could be a promising therapy for CP. Wolters Kluwer Health 2016-11-04 /pmc/articles/PMC5591155/ /pubmed/27858907 http://dx.doi.org/10.1097/MD.0000000000005305 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 3400
Qian, Lin-Yan
Pang, Jie
Che, Xian-Da
Ding, Ya-Hui
Zou, Hai
Zhou, Bing
Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report
title Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report
title_full Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report
title_fullStr Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report
title_full_unstemmed Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report
title_short Cholesterol pericarditis associated with rheumatoid arthritis: A rare case report
title_sort cholesterol pericarditis associated with rheumatoid arthritis: a rare case report
topic 3400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591155/
https://www.ncbi.nlm.nih.gov/pubmed/27858907
http://dx.doi.org/10.1097/MD.0000000000005305
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