Recurrent myopericarditis in association with Crohn's disease.
Myopericarditis is a rare extraintestinal complication of inflammatory bowel disease (IBD). It has also been described as a side-effect of the treatment of IBD. We report a 37-year-old-woman with Crohn's disease who had several mild episodes of myopericarditis, two of which were associated with a pleural effusion, and two with conduction abnormalities in the atrioventricular node. During the last episode, a nodal rhythm was followed by a third-degree atrioventricular block and a prolonged pause, resulting in loss of consciousness and convulsions. A permanent pacemaker was implanted. Our patient is also human lymphocyte antigen (HLA) B27-positive. HLA B27 is known to be associated with conduction disturbances in the AV node. Recurrent myopericarditis can be a sign of IBD.
Hyttinen
L
L
Department of Medicine, Kuopio University Hospital, Kuopio, Finland. laura.hyttinen@pkshp.fi
Kaipiainen-Seppänen
O
O
Halinen
M
M
D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D003424:Crohn Disease / Q000150:complications*; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006327:Heart Block / Q000209:etiology / Q000628:therapy; D006801:Humans; D009205:Myocarditis / Q000150:complications*; D010493:Pericarditis / Q000150:complications*; D012008:Recurrence