López Granados A, Anguita Sánchez M, Mesa Rubio M D, Franco Zapata M, Vivancos Delgado R, Bueno Ferrer G, Suárez de Lezo J, Vallés Belsúe F
Servicio de Cardiología, Hospital Reina Sofía, Córdoba.
Rev Esp Cardiol. 1991 Mar;44(3):210-2.
Almost 90% of primary acute pericarditis are idiopathic. Between specifics forms, a very low percentage of cases are due to chronic rheumatic diseases. A case of adult Still's disease (juvenile chronic rheumatoid arthritis) with acute pericarditis being the first clinical manifestation (besides fever and general syndrome) is presented. Therapy with oral prednisone was rapidly effective, and pericardial effusion resolved after 3 weeks of treatment, as echocardiography showed.
几乎90%的原发性急性心包炎是特发性的。在特定类型中，由慢性风湿性疾病引起的病例占比极低。本文报告一例以急性心包炎为首发临床表现（除发热和全身症状外）的成人斯蒂尔病（青少年慢性类风湿关节炎）。口服泼尼松治疗迅速起效，超声心动图显示，治疗3周后心包积液消退。
