La péricardite: une manifestation de la maladie de Horton

Myopericarditis Revealing Giant Cell Arteritis in the Elderly

“…Currently, cardiac manifestations are rarely described in the literature, as only 3 cases of GCA-related myopericarditis are reported 1,2 . Pericarditis without myocarditis has also been reported, as inaugural manifestation of GCA 3,4 . Steroids were effective in almost all these cases.…”

Advances in the Diagnosis and Treatment of Vasculitis

“…Pericarditis during GCA is rarely reported. In the literature, we were only able to find twelve observations in 20 years (Bablekos et al 2006;Dupond et al 1982;Clementz et al 1989;Garewal et al 1981;Guillaume et al 1991;B;Guindon et al 2007;Preston et al 1991;Pedro-Botet et al 1996;Matsue et al 2011;Stanley et al 1989. In nine of these cases, cardiac symptoms including chest pain, exertional dyspnea or pericardial fremitus were present, but in three of the cases, the pericarditis was silent and was discovered on chest X-ray anomaly (Guindon et al 2007;Miller 1996;Pedro et al 1996).…”

“Extra-Cranial” Manifestations of Giant Cell Arteritis

“…In the literature, we were only able to find twelve observations in 20 years (Bablekos et al 2006;Dupond et al 1982;Clementz et al 1989;Garewal et al 1981;Guillaume et al 1991;B;Guindon et al 2007;Preston et al 1991;Pedro-Botet et al 1996;Matsue et al 2011;Moulis et al 2010;Stanley et al 1989& Valstar et al 2003. In nine of these cases, cardiac symptoms including chest pain, exertional dyspnea or pericardial fremitus were present, but in three of the cases, the pericarditis was silent and was discovered on chest X-ray anomaly (Guindon et al 2007;Miller 1996;Pedro et al 1996).…”

“…In the literature, we were only able to find twelve observations in 20 years (Bablekos et al 2006;Dupond et al 1982;Clementz et al 1989;Garewal et al 1981;Guillaume et al 1991;B;Guindon et al 2007;Preston et al 1991;Pedro-Botet et al 1996;Matsue et al 2011;Moulis et al 2010;Stanley et al 1989& Valstar et al 2003. In nine of these cases, cardiac symptoms including chest pain, exertional dyspnea or pericardial fremitus were present, but in three of the cases, the pericarditis was silent and was discovered on chest X-ray anomaly (Guindon et al 2007;Miller 1996;Pedro et al 1996). In this observations, the classical electrocardiographic anomalies of pericarditis (PR segment depression, repolarization anomalies) are not constant and one case only has been described with signs of ultrasound tamponade which did not however necessitated drainage, the hemodynamics being stable and progression satisfactory with corticosteroids (Valstar et al 2003).The pericarditis was inaugural of GCA in all the cases, except one incidence of a relapse after one year, following the sudden interruption of the corticosteroids (Valstar et al 2003).…”