Bread and butter  fibrinous pericarditis

Souza, Pedro Mansueto Melo de; Santos, Adriele Machado dos; Paulino, Eurides Martins; Hirth, Carlos Gustavo; Dornelas, Conceição Aparecida

doi:10.4322/acr.2016.050

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…The histology shows the deposition of fibrin and leukocytic exudate involving the pericardial leaflets. This is most commonly caused by acute myocardial infarction (MI), trauma/surgery, infection, uremia, neoplasia, and systemic diseases such as in this case [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Massive Hemorrhagic Pericardial Effusion With Cardiac Tamponade as Initial Manifestation of Mixed Connective Tissue Disease

et al. 2018

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Mixed connective tissue disease (MCTD) is a distinct entity of connective tissue disorders characterized by overlapping clinical features of various autoimmune diseases along with the presence of antibodies to ribonucleoprotein (anti-RNP). The prevalence of cardiac involvement in MCTD varies from 13% to 65% and accounts for approximately 20% of MCTD related mortality. In this case, we describe an elderly female patient with multiple complaints without a clear etiology on presentation. Echocardiogram revealed severe rapidly accumulating pericardial effusion causing tamponade necessitating pericardial window. Laboratory investigations showed positive ribonucleoprotein antibodies. Biopsy of pericardial tissue revealed fibrinous pericarditis. While pericarditis is commonly associated with MCTD, pericardial tamponade on the other hand is rarely described. This case highlights a very rare complication of the disease. Early recognition, prompt treatment, and regular follow-up with serial echo are essential for treatment.

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Section: Discussionmentioning

confidence: 99%

Massive Hemorrhagic Pericardial Effusion With Cardiac Tamponade as Initial Manifestation of Mixed Connective Tissue Disease

et al. 2018

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“…The journal has a dedicated section, “image in focus” for gross images. Being a pathology resident this section always fascinates me and I came across some wonderful images of different diseases including endomyocardial fibrosis, 1 holoprosencephaly, 2 gelatinous transformation of bone marrow, 3 Eisenmenger syndrome, 4 fibrinous pericarditis, 5 periprostatic venous thrombosis, 6 cardiac myxoma 7 and punched out skull lesions of multiple myeloma. 8 This list goes on and on and the archives of the journal 9 has a great collection of images.…”

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confidence: 99%