Hyperdense pericardial effusion in dermatomyositis and contrast induced nephropathy.
Pericardial involvement in dermatomyositis is rare and usually asymptomatic. In many instances, a diagnosis of pericardial involvement is not found until autopsy. Renal failure associated with connective tissue disorders can result in or potentially exaggerate pericardial inflammation. We report an unusual case of high-density pericardial effusion in a patient with dermatomyositis consequent upon contrast nephropathy as demonstrated by computed tomography. High-density pericardial effusion can be a result of an insidious cause such as pericardial inflammation rather than the more usual causes such as coronary or cardiac perforation.
Kamath
Sridhar
S
Department of Radiology, X-ray East, Level 6, Derriford Hospital, Plymouth, PL6 8DH, United Kingdom E- kamathsridhar@yahoo.com
Roobottom
Carl A
CA
D058186:Acute Kidney Injury / Q000139:chemically induced*; D000368:Aged; D003287:Contrast Media / Q000009:adverse effects*; D003882:Dermatomyositis / Q000150:complications*; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006801:Humans; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology*; D010493:Pericarditis / Q000150:complications; D010996:Pleural Effusion / Q000139:chemically induced; D014057:Tomography, X-Ray Computed
D003287:Contrast Media