Idiopathic pericarditis by cholesterol crystals

Cholesterol Pericarditis

“…Many patients, including our own, did not present with chest discomfort, friction rub, or ECG signs of pericarditis. 1 , 2 , 5 , 6 , 7 , 8 , 9 To our knowledge, this is the first report of cholesterol pericarditis with CMR findings, which revealed no active inflammation. It is unclear whether these patients would benefit from anti-inflammatory medications.…”

“…Of several reported cases, most reported elevated pericardial cholesterol levels. 1 , 2 , 5 , 6 , 7 , 8 In this case, pericardial fluid had elevated cholesterol levels and cholesterol crystals with foam macrophages. These studies are not routine parts of a pericardial effusion analysis and were pursued because of the golden appearance of the pericardial fluid.…”