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All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism
Concomitance of acute pericarditis and pulmonary embolism is extremely rare, with only a few case reports published so far. Herein we present a case of a 50-year-old man that presented to the Emergency Department, complaining of fever up to 38.5°C, pleuritic chest pain, nausea, arthralgias, and gene...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Mediterranean Journal of Rheumatology (MJR)
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314879/ https://www.ncbi.nlm.nih.gov/pubmed/34386707 http://dx.doi.org/10.31138/mjr.32.1.88 |
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author | Patoulias, Dimitrios Papachristou, Savvas Vitos, Dimitrios Apostolidou, Xanthi Georgopoulou, Vivian Kozanidou, Andreanna Stamou, Dafni Samarentsis, Nikolaos Chioni, Andriana Bakatselos, Spyridon |
author_facet | Patoulias, Dimitrios Papachristou, Savvas Vitos, Dimitrios Apostolidou, Xanthi Georgopoulou, Vivian Kozanidou, Andreanna Stamou, Dafni Samarentsis, Nikolaos Chioni, Andriana Bakatselos, Spyridon |
author_sort | Patoulias, Dimitrios |
collection | PubMed |
description | Concomitance of acute pericarditis and pulmonary embolism is extremely rare, with only a few case reports published so far. Herein we present a case of a 50-year-old man that presented to the Emergency Department, complaining of fever up to 38.5°C, pleuritic chest pain, nausea, arthralgias, and general symptoms during the previous two weeks. Thorough diagnostic work-up revealed the diagnosis of concomitant acute pericarditis and pulmonary embolism, which raised high index of clinical suspicion for systemic lupus erythematosus (SLE). Indeed, the patient did not marginally meet the diagnostic criteria for SLE (total score=8), according to the updated 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria. Since then, the patient remains asymptomatic, while he is under close monitoring for potential manifestation of other SLE clinical features. Our case highlights the need for long-term follow-up in such patients, especially when the first episode is attributed as idiopathic. |
format | Online Article Text |
id | pubmed-8314879 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Mediterranean Journal of Rheumatology (MJR) |
record_format | MEDLINE/PubMed |
spelling | pubmed-83148792021-08-11 All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism Patoulias, Dimitrios Papachristou, Savvas Vitos, Dimitrios Apostolidou, Xanthi Georgopoulou, Vivian Kozanidou, Andreanna Stamou, Dafni Samarentsis, Nikolaos Chioni, Andriana Bakatselos, Spyridon Mediterr J Rheumatol Case Report Concomitance of acute pericarditis and pulmonary embolism is extremely rare, with only a few case reports published so far. Herein we present a case of a 50-year-old man that presented to the Emergency Department, complaining of fever up to 38.5°C, pleuritic chest pain, nausea, arthralgias, and general symptoms during the previous two weeks. Thorough diagnostic work-up revealed the diagnosis of concomitant acute pericarditis and pulmonary embolism, which raised high index of clinical suspicion for systemic lupus erythematosus (SLE). Indeed, the patient did not marginally meet the diagnostic criteria for SLE (total score=8), according to the updated 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria. Since then, the patient remains asymptomatic, while he is under close monitoring for potential manifestation of other SLE clinical features. Our case highlights the need for long-term follow-up in such patients, especially when the first episode is attributed as idiopathic. The Mediterranean Journal of Rheumatology (MJR) 2021-02-08 /pmc/articles/PMC8314879/ /pubmed/34386707 http://dx.doi.org/10.31138/mjr.32.1.88 Text en © 2021 The Mediterranean Journal of Rheumatology (MJR) https://creativecommons.org/licenses/by/4.0/This work is licensed under and Creative Commons Attribution-NonCommercial 4.0 International License. |
spellingShingle | Case Report Patoulias, Dimitrios Papachristou, Savvas Vitos, Dimitrios Apostolidou, Xanthi Georgopoulou, Vivian Kozanidou, Andreanna Stamou, Dafni Samarentsis, Nikolaos Chioni, Andriana Bakatselos, Spyridon All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism |
title | All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism |
title_full | All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism |
title_fullStr | All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism |
title_full_unstemmed | All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism |
title_short | All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism |
title_sort | all that glitters is not gold! a case of concomitant acute pericarditis and subsegmental pulmonary embolism |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314879/ https://www.ncbi.nlm.nih.gov/pubmed/34386707 http://dx.doi.org/10.31138/mjr.32.1.88 |
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