Clémenty J, Jambert H, Dallocchio M
Arch Mal Coeur Vaiss. 1979 Aug;72(8):857-61.
62 of 100 cases of acute pericarditis observed over 15 years were so-called acute benign pericarditis. 20 of these patients (30%) had multiple relapses. Relapse could not be predicted. The interval between the initial affection and first relapse was usually more than one month (18/20). Each relapse was accompanied by pain, fever, ST-T changes, slight cardiomegaly and acceleration of the ESR. Corticotherapy appeared to be responsible for relapse in 13 cases. In 6 cases the eradication of a deep septic focus prevented further relapses. In two cases the duration of anti-inflammatory therapy was thought to have been insufficient. Antibiotic therapy did not seem to be a provocative factor. Relapses may be numerous (10 to 12) and prolonged (24-36 months) especially in the corticodependant forms in which steroids should be tailed off gradually according to a strict protocol.
在15年期间观察到的100例急性心包炎病例中，62例为所谓的急性良性心包炎。这些患者中有20例（30%）多次复发。复发无法预测。初次发病与首次复发之间的间隔通常超过1个月（20例中有18例）。每次复发都伴有疼痛、发热、ST-T改变、轻度心脏扩大和血沉加快。13例复发似乎与皮质激素治疗有关。6例通过根除深部脓毒症病灶避免了进一步复发。2例被认为是抗炎治疗持续时间不足。抗生素治疗似乎不是诱发因素。复发可能很多（10至12次）且持续时间长（24 - 36个月），尤其是在依赖皮质激素的类型中，在这种情况下，应根据严格方案逐渐减少类固醇用量。
