title: Pericardial tamponade in a patient with polymyalgia rheumatica.
abstract: We report a patient who developed pericarditis and pericardial tamponade coinciding with polymyalgia rheumatica onset. Our patient did not show any clinical sign of vasculitis; temporal artery biopsies were negative for giant cell arteritis. Pericardial biopsy in our case shows inflammatory perivascular lymphocytary infiltrates thus we believe pericardial effusion has an inflammatory-immunologic origin. Cardiac manifestations are exceptional in polymyalgia rheumatica, though it should be considered in the differential diagnosis in patients with pericarditis over 50 years. The recognition of this uncommon manifestation is very important due to the good response to corticosteroid treatment.
authors: Department of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors: E
authors: E
authors: Calvo
authors: E
authors: E
authors: Becerra
authors: F J
authors: FJ
authors: López-Longo
authors: F J
authors: FJ
authors: Cabrera
authors: L
authors: L
authors: Carreño
authors: A
authors: A
authors: Paravisini
authors: M
authors: M
authors: Cebollero
authors: B
authors: B
authors: Pinilla
authors: A
authors: A
authors: Muiño
mesh_terms: D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001706:Biopsy; D002305:Cardiac Tamponade / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D013700:Giant Cell Arteritis / Q000175:diagnosis; D006801:Humans; D010493:Pericarditis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D011111:Polymyalgia Rheumatica / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D011241:Prednisone / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D011241:Prednisone