Pericarditis Associated With Inflammatory Bowel Disease

Mukhopadhyay, Dipankar

doi:10.1001/jama.1970.03170090056015

Cited by 38 publications

(11 citation statements)

References 5 publications

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“…First, this case illustrates the therapeutic advantage of prednisone over NSAIDs for this condition. Prednisone is therapeutic for both conditions [13][14][15], whereas NSAIDs may be therapeutic for the pericarditis [16], but can exacerbate ulcerative colitis [17], as was clinically suspected in this case. NSAIDs should be administered cautiously for pericarditis associated with ulcerative colitis, and avoided in patients with active ulcerative colitis.…”

Section: Discussionmentioning

confidence: 67%

Chronic Pericarditis and Pericardial Tamponade Associated with Ulcerative Colitis

Cappell¹,

Turkieh

2007

Dig Dis Sci

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Unlike other extraintestinal inflammatory manifestations of ulcerative colitis, cardiac involvement is infrequently reported and inadequately characterized, with only 9 previously reported cases of pericardial tamponade associated with inflammatory bowel disease. A 32 year old male with ulcerative colitis, treated with orally administered mesalamine for ten years, developed chronic pericarditis. Extensive clinical and laboratory evaluation failed to find any cause of the pericarditis other than the ulcerative colitis. Although the pericarditis remitted with indomethacin therapy, this medicine had to be discontinued because of a reactivation of ulcerative colitis attributed to this nosteroidal antiinflammatory drug (NSAID). The pericarditis then responded well to high-dose corticosteroid therapy, but the patient represented with chest pain, dyspnea, tachypnea, and engorged neck veins after tapering the corticosteroid therapy. Angiography revealed near equalization of end diastolic pressures in both ventricles, a finding consistent with pericardial tamponade. The patient underwent subtotal pericardiectomy. Thoracotomy revealed a thickened pericardial wall and a large pericardial effusion. The patient's symptoms resolved postpericardiectomy. This case extends the clinical spectrum of pericarditis associated with ulcerative colitis, by describing a case of pericarditis that was chronic, refractory to maintenance medical therapy, caused pericardial tamponade, and was successfully treated by pericardiectomy.

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Section: Discussionmentioning

confidence: 67%

Chronic Pericarditis and Pericardial Tamponade Associated with Ulcerative Colitis

Cappell¹,

Turkieh

2007

Dig Dis Sci

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“…Pericarditis rarely has been reported in association with IBD. [63][64][65][66][67][68] It did not get mentioned in a recent review of rare extraintestinal manifestations of IBD. 69 Although the PR was increased in both UC and Crohn's disease patients over the general population, the actual prevalence of the condition was quite low.…”

Section: Discussionmentioning

confidence: 99%

The Clustering of Other Chronic Inflammatory Diseases in Inflammatory Bowel Disease: A Population-Based Study

2005

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“…However, recurrent pericarditis preceded bowel symptoms by two years in one patient, 2 and colitis was apparently inactive during an episode of pericarditis in another. J Some patients suffered frequent relapses of pericarditis, 2,3,7 and potentially life-threatening complications have been reported. These include cardiac tamponade" and complete atrioventricular block from myopericarditis.'…”

Section: Discussionmentioning

confidence: 99%

Acute pericarditis: An unusual presentation of an exacerbation of ulcerative colitis

Pang

1985

Medical Journal of Australia

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Acute pericarditis is an unusual complication of ulcerative colitis. In some rare cases, it is the only extraintestinal manifestation of the underlying colitis, and may even precede the development of bowel symptoms. Less rarely, pericarditis may be the presenting feature of an exacerbation of ulcerative colitis. Such a case is reported to illustrate the important, but uncommon, association of these disorders, and to discuss the implications for management.

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Pericarditis Associated With Inflammatory Bowel Disease

Cited by 38 publications

References 5 publications

Chronic Pericarditis and Pericardial Tamponade Associated with Ulcerative Colitis

Chronic Pericarditis and Pericardial Tamponade Associated with Ulcerative Colitis

The Clustering of Other Chronic Inflammatory Diseases in Inflammatory Bowel Disease: A Population-Based Study

Acute pericarditis: An unusual presentation of an exacerbation of ulcerative colitis

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