Recurrent pericarditis as an extra‐intestinal manifestation of ulcerative colitis in a 14‐year‐old girl

Gils, Ann J. M. Van; Gijlswijk, Sandra van; Taminiau, J. A. J. M.; Marchau, Fabienne; Vijver, Els Van de

doi:10.1002/ccr3.1562

Cited by 8 publications

(4 citation statements)

References 24 publications

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“…Clinical improvement was achieved after use of colchicine with an increase in the dose of steroid [ 16 ]. Additionally, in adult patients with UC complicated by myocarditis, administration of corticosteroids led to symptoms relief [ 17 , 18 , 19 ]. The authors of the reported cases proposed the concomitant administration of colchicine to prevent the recurrence of myocarditis [ 17 , 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment with Corticosteroids in an 11-Year-Old Patient with Crohn’s Disease and Myopericarditis—Case Report

et al. 2022

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Extraintestinal manifestations (EIMs) are observed in 15–20% of patients with inflammatory bowel disease (IBD). One of the rare EIMs is myocarditis, the incidence of which is estimated at around 1%. The main cause of myocarditis is a viral infection. Other causes include autoimmune diseases and drug complications (sulfasalazine, mesalazine). We present the case of an 11-year-old girl with Crohn’s disease (CD) with EIMs, manifested as hip joint inflammation and erythema nodosum. At the same time, the symptoms of myopericarditis appeared with changes in electrocardiogram (ECG), echocardiography and high troponin I concentration. Therapy with corticosteroids resulted in the resolution of skin lesions and cardiological symptoms. Systemic connective tissue diseases, viral and bacterial infections were excluded in the differential diagnosis. The suspicion of mesalazine-induced EIMs was also ruled out as the symptoms resolved despite continued therapy with mesalazine. No further recurrences of myopericarditis were observed.

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Section: Discussionmentioning

confidence: 99%

Successful Treatment with Corticosteroids in an 11-Year-Old Patient with Crohn’s Disease and Myopericarditis—Case Report

et al. 2022

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“…UC-related pericarditis that recurred regardless of treatment was reported in a 14-year-old patient who was administered corticosteroids and colchicine to treat and prevent pericarditis. All other reports of cardiac involvement were caused by 5-aminosalicylate or mesalazine, with most patients recovering after discontinuation of the responsible drug [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Concomitant Myocarditis in a 13-Year-Old Patient with Crohn’s Disease

Kim

2022

Children

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Extraintestinal manifestations (EIMs) of inflammatory bowel disease (IBD) are diverse; however, cardiac manifestations are rare. Herein, we report a case of myocarditis associated with Crohn’s disease (CD) in a 13-year-old boy. The patient was hospitalized for an evaluation of IBD due to recurrent abdominal pain and diarrhea for several months. On the second day of hospitalization, the patient complained of shortness of breath and chest discomfort. Chest radiography revealed cardiomegaly and pulmonary edema with sinus tachycardia on electrocardiogram (ECG). Echocardiography revealed slight right ventricular (RV) dysfunction and mild left ventricular (LV) dilatation. Laboratory results revealed elevated levels of cardiac markers and soluble suppression of tumorigenicity (sST2), both of which indicated fulminant myocarditis. The patient was diagnosed with acute myocarditis and treated in the intensive care unit, where he had massive and intermittent episodes of bloody stools. Several studies for the diagnosis of IBD were continued after the patient improved. Additional capsule endoscopy revealed multiple ulcers with active bleeding in the small intestine. Therefore, CD with small intestine involvement was diagnosed. This is the first reported case of myocarditis co-occurring as an EIM in pediatric CD. The occurrence of myocarditis in IBD and gastrointestinal bleeding are considered to be related to vasculitis.

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“…However, in patients with suspected IBD, as in our case, NSAID should not be given because NSAID could induce or exacerbate the preexisting ulcerative colitis by inhibiting cyclooxygenase and decreasing prostaglandin synthesis, which is cytoprotective to the intestine [ 6 ]. Therefore, it is suggested that corticosteroid should be used as first-line therapy in IBD patients with acute pericarditis [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Triangular QRS-ST-T Waveform Electrocardiographic Pattern in Acute Myopericarditis: A Case Report from a Limited-Resources Hospital

Hasibuan¹,

Intan²,

Wilujeng³

et al. 2020

Am J Case Rep

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Recurrent pericarditis as an extra‐intestinal manifestation of ulcerative colitis in a 14‐year‐old girl

Cited by 8 publications

References 24 publications

Successful Treatment with Corticosteroids in an 11-Year-Old Patient with Crohn’s Disease and Myopericarditis—Case Report

Successful Treatment with Corticosteroids in an 11-Year-Old Patient with Crohn’s Disease and Myopericarditis—Case Report

Diagnosis of Concomitant Myocarditis in a 13-Year-Old Patient with Crohn’s Disease

Triangular QRS-ST-T Waveform Electrocardiographic Pattern in Acute Myopericarditis: A Case Report from a Limited-Resources Hospital

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