CARDIAC MANIFESTATIONS IN ADULT-ONSET STILLS DISEASE - FROM THE PERICARDITIS TO THE ONSET PERICARDIAL TAMPONADE

被引：18

作者：

DROUOT, MH ^{[1
]}

HACHULLA, E ^{[1
]}

HOUVENAGEL, E ^{[1
]}

HATRON, PY ^{[1
]}

FLIPO, RM ^{[1
]}

GOULLARD, L ^{[1
]}

DUCLOUX, G ^{[1
]}

DEVULDER, B ^{[1
]}

机构：

[1] CHRU,HOP CLAUDE HURIEZ,SERV MED INTERNE,F-59037 LILLE,FRANCE

来源：

REVUE DE MEDECINE INTERNE | 1994年 / 15卷 / 11期

关键词：

ADULT STILL DISEASE; CARDIAC INVOLVEMENT; PERICARDITIS; PERICARDIAL TAMPONADE;

D O I：

10.1016/S0248-8663(05)81400-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pericarditis is a common manifestation of adult still's diseases (ASD), observed in 20% to 3% cases. Pericardial tamponade is more seldom, less than ten cases have been reported in the literature. We reported two observations of patients with ASD and pericardial tamponade above a serie of 18 patients with ASD, in one case revealed the disease. The first patient was a 32-year-old women and had fever, arthritis, high white blood cell count and developed pericardial tamponade. The evolution was favourable with bolus of methylprednisolone. In the second case, cardiac tamponade occurred several years after the onset of the disease. Surgical drainage was first required (800 ml) because of inefficacity of oral prednisone. A dramatic improvement was observed after bolus of methylprednisolone. In conclusion pericardial tamponade is a seldom but sometimes the first manifestation of ASD and may required in first intention bolus of methylprednisolone.

引用

页码：740 / 743

页数：4