title: [Recurrent pericarditis related to primary pericardial malignant mesothelioma].
abstract: BACKGROUND
  Most of recurrent pericarditis are idiopathic and only 15 to 20% have a specific diagnosis. Primary pericardial mesothelioma is a rare cause of recurrent pericarditis. Diagnosis can be challenging and antedates patient's death in only 10 to 20% of cases. Histology of mesothelioma and immunohistochemistry are mandatory for the diagnosis. Median of survival before using pemetrexed was about 6 months after diagnosis.
  
  
  METHODS
  We report the history of a 64-year-old woman for which repeated biopsy for recurrent pericarditis was necessary to diagnose a primary pericardial mesothelioma. The first biopsy had only found mesothelial hyperplasia.
  
  
  CONCLUSIONS
  This case report highlights the necessity of repeat pericardial biopsy in the case of adverse outcome.
authors.affiliation: Service de médecine interne, centre hospitalier universitaire Gabriel Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand cedex 1, France.
authors.forename: P
authors.initials: P
authors.lastname: Smets
authors.forename: G
authors.initials: G
authors.lastname: Guettrot-Imbert
authors.forename: M
authors.initials: M
authors.lastname: Hermet
authors.forename: I
authors.initials: I
authors.lastname: Delevaux
authors.forename: J-L
authors.initials: JL
authors.lastname: Kemeny
authors.forename: O
authors.initials: O
authors.lastname: Aumaître
authors.forename: M
authors.initials: M
authors.lastname: André
mesh_terms: D001706:Biopsy; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis; D008654:Mesothelioma / Q000150:complications* / Q000175:diagnosis; D000086002:Mesothelioma, Malignant; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology; D010493:Pericarditis / Q000175:diagnosis / Q000209:etiology*; D012008:Recurrence
keywords: Hyperplasie mésothéliale; Malignant mesothelioma; Mesothelial hyperplasia; Mésothéliome malin; Péricardite récidivante; Recurrent pericarditis