Document Detail

Cardiac tamponade in Still disease: a review of the literature.
MedLine Citation:
PMID:  19593288     Owner:  NLM     Status:  MEDLINE    
Adult onset Still disease is an unusual multisystem inflammatory disorder of unknown etiology and pathogenesis. Among its protean manifestations is pericarditis which occurs in approximately 30-40% of patients. Cardiac tamponade is a rare complication of pericarditis occurring in the context of Still disease. We conducted a review of the English literature pertaining to the occurrence of pericardial tamponade in Still disease. We searched relevant journals and the PubMed Medline databases. A total of eighteen reported cases were identified; ten among children and eight in adults. Treatment of pericardial tamponade was medical therapy alone in two cases versus combined modality, medical and surgical drainage in the remainder of the cases. Outcomes were death among four of the ten children and there was no recurrence of tamponade in the remaining child and adult series. This review re-emphasizes the importance of considering Still disease in the differential diagnosis of the life-threatening emergency of pericardial tamponade.
Najma Parvez; John L Carpenter
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Southern medical journal     Volume:  102     ISSN:  1541-8243     ISO Abbreviation:  South. Med. J.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-05     Completed Date:  2009-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  832-7     Citation Subset:  AIM; IM    
Division of Infectious Diseases, Scott & White Memorial Hospital and Clinic, Temple, TX 76508, USA.
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MeSH Terms
Anti-Inflammatory Agents / therapeutic use
Arthritis, Juvenile Rheumatoid / complications*,  diagnosis,  drug therapy
Cardiac Tamponade / etiology*,  therapy
Child, Preschool
Middle Aged
Still's Disease, Adult-Onset / complications*,  diagnosis,  drug therapy
Young Adult
Reg. No./Substance:
0/Anti-Inflammatory Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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