Incessant Pericarditis With Recurrent Cardiac Tamponade as the Manifestation of Autoimmune Polyglandular Syndrome Type II

A 23-year-old man was admitted for acute pericarditis that evolved to cardiac tamponade and shock with need of emergent pericardiocentesis and inotropic support. Corticosteroid therapy was successful, but despite a gradual tapering, the patient relapsed. Incidentally, the patient developed hyperkale...

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Bibliographic Details
Published in:JACC. Case reports 2020-08, Vol.2 (10), p.1536-1541
Main Authors: Marinho, Ana V., Baptista, Rui, Cardoso, Luís, Alves, Patrícia M., Monteiro, Sílvia, Gonçalves, Francisco, Gonçalves, Lino
Format: Article
Language:English
Subjects:
acute pericarditis
Addison crisis
autoimmune polyangular syndrome type 2
cardiac tamponade
Mini-Focus Issue: Heart Failure
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Summary:A 23-year-old man was admitted for acute pericarditis that evolved to cardiac tamponade and shock with need of emergent pericardiocentesis and inotropic support. Corticosteroid therapy was successful, but despite a gradual tapering, the patient relapsed. Incidentally, the patient developed hyperkalemia with hyponatremia. Subsequent hormonal measurements confirmed autoimmune polyglandular syndrome type-2. (Level of Difficulty: Intermediate.) [Display omitted] A 23-year-old man was admitted for acute pericarditis that evolved to cardiac tamponade and shock with need of emergent pericardiocentesis and inotropic…
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.05.083