Caractéristiques de l’atteinte cardiaque au cours de la granulomatose éosinophilique avec polyangéite

Belhassen, A.; Toujani, S.; Ouni, A. El; Meddeb, Z.; Abdelkefi, C.; Larbi, T.; Hamzaoui, S.; Bouslama, K.

doi:10.1016/j.ancard.2020.12.002

Cited by 2 publications

(4 citation statements)

References 17 publications

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“…A clear female predominance with a male to female sex ratio of 0.09 was found. This female predominance was also found by several other authors [5][6][7][8][9].…”

Section: Discussionsupporting

confidence: 88%

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Cardiac Diseases During Systemic Inflammatory Diseases in the Internal Medicine and Medical Oncology Department of NTHC-HKM of Cotonou

Angèle¹,

Armand²,

Anthelme³

et al. 2021

AJIM

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Systemic inflammatory diseases are characterized by multivisceral involvement at some point in their evolution.This involvement can concern almost all organs, including the heart. Each systemic condition has a unique cardiac expression. The target of this study is to determine the frequency of cardiac involvement in systemic inflammatory diseases. This study is a cross-sectional, descriptive, and analytical study that was conducted within 07 months. The aim was to screen 23 patients followed for systemic inflammatory diseases for cardiac involvement. The mean age was 44 (±12) years old with a minimum of 24 and a maximum 64 years. Most of patients were women with a sex ratio (M/F) of 0.09. An echocardiographic abnormality was found in 26.1% of patients and 73.1% had an ECG abnormality. They included left atrial hypertrophy (43.4%), left ventricular hypertrophy (30.4%), right axial deviation (26.1%), low voltage (21.7%), right atrial hypertrophy (8.6%), S1Q3 appearance (8, 6%), pulmonary hypertension (8.6%), repolarization disorders (8.6%), sinus tachycardia (8.6%), middle tricuspid insufficiency (4.3%), middle pulmonary insufficiency (4.3%), and pericarditis (4.3%). Patients with systemic inflammatory diseases had cardiac disorders with rare clinical manifestations but with an incidental discovery either on ECG or on cardiac echodoppler. Hence, a systematic cardiac exploration in these patients was essential.

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“…A clear female predominance with a male to female sex ratio of 0.09 was found. This female predominance was also found by several other authors [5][6][7][8][9].…”

Section: Discussionsupporting

confidence: 88%

“…Dermatopolymyositis and polymyositis are mainly complicated by rhythm and conduction disorders. Myocardial involvement is a serious factor in periarteritis nodosa and Churg and Strauss vasculitis [5]. In Sharp's syndrome, pericardial involvement is predominant.…”

Section: Introductionmentioning

confidence: 99%

Cardiac Diseases During Systemic Inflammatory Diseases in the Internal Medicine and Medical Oncology Department of NTHC-HKM of Cotonou

Angèle¹,

Armand²,

Anthelme³

et al. 2021

AJIM

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show abstract

“…In SSc, CP is a rare finding and typically occurs in the late stages of the disease [ 5 , 11 , 12 ]. Acute pericarditis has been observed in medium- and small-vessel vasculitis, and to a lesser extent in large vessel vasculitis [ 5 , 13 – 15 ]. Behçet’s disease has been reported to have cardiac involvement in up to 6% of cases, with pericardial involvement being the most common manifestation.…”

Section: Discussionmentioning

confidence: 99%

“…In systemic sclerosis (SSc), the prevalence of pericarditis ranges from 6 to 16% [ 5 , 9 – 12 ]. Pericardial involvement is commonly observed in systemic vasculitis, particularly in medium and ANCA-associated small vessel vasculitis, such as eosinophilic granulomatosis with polyangiitis (20–25%) and granulomatosis with polyangiitis (< 10%) [ 5 , 13 – 15 ]. It is rarely associated with large vessel vasculitis, as Takayasu´s arteritis (< 10%) [ 5 , 6 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Chronic constrictive pericarditis: a rare cardiac involvement in primary Sjögren’s syndrome

Duarte,

Oliveira,

Fontes

et al. 2023

BMC Cardiovasc Disord

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Background Constrictive pericarditis represents a chronic condition and systemic inflammatory diseases are a known, yet uncommon, cause. Pericardial involvement is seldom reported in primary Sjögren’s syndrome, usually occurring in association with pericardial effusion or pericarditis. We report a case of constrictive pericarditis with an insidious course and unusual evolution associated with primary Sjögren’s syndrome. Due to the challenging nature of the diagnosis, clinical suspicion and multimodality imaging are essential for early identification and prompt initiation of treatment. Long-term outcomes remain uncertain. To the best of our knowledge, no other cases linking this autoimmune disease to constrictive pericarditis have been reported. Case presentation We present the case of a 48-year-old male patient with moderate alcohol habits and a history of two prior hospitalizations. On the first, the patient was diagnosed with primary Sjögren’s syndrome after presenting with pleural effusion and ascites, and empirical corticosteroid regiment was initiated. On the second, two-years later, he was readmitted with complaints of dyspnea and abdominal distension. Thoracic computed tomography revealed a localized pericardial thickening and a thin pericardial effusion, both of which were attributed to his rheumatic disease. A liver biopsy showed hepatic peliosis, which was considered to be a consequence of glucocorticoid therapy. Diuretic therapy was adjusted to symptom-relief, and a tapering corticosteroid regimen was adopted. Four years after the initial diagnosis, the patient was admitted again with recurrent dyspnea, orthopnea and ascites. At this time, constrictive pericarditis was diagnosed and a partial pericardiectomy was performed. Although not completely asymptomatic, the patient reported clinical improvement since the surgery, but still with a need for baseline diuretic therapy. Conclusion Albeit uncommon, connective tissue disorders, such as primary Sjögren’s syndrome, should be considered as a potential cause of constrictive pericarditis, especially in young patients with no other classical risk factors for constriction. In this case, after excluding possible infectious, neoplastic and autoimmune conditions, a primary Sjögren´s syndrome in association with constrictive pericarditis was assumed. This case presents an interesting and challenging clinical scenario, highlighting the importance of clinical awareness and the use of multimodal cardiac imaging for early recognition and treatment.

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Caractéristiques de l’atteinte cardiaque au cours de la granulomatose éosinophilique avec polyangéite

Cited by 2 publications

References 17 publications

Cardiac Diseases During Systemic Inflammatory Diseases in the Internal Medicine and Medical Oncology Department of NTHC-HKM of Cotonou

Cardiac Diseases During Systemic Inflammatory Diseases in the Internal Medicine and Medical Oncology Department of NTHC-HKM of Cotonou

Chronic constrictive pericarditis: a rare cardiac involvement in primary Sjögren’s syndrome

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