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格雷夫斯病作为急性心包炎的罕见病因。

Graves' disease as an uncommon cause of acute pericarditis.

作者信息

Kortekaas Kirsten A, van der Lienden Bas, Jong Simone, Riezebos Robert

出版信息

BMJ Case Rep. 2014 Apr 25;2014:bcr2013203342. doi: 10.1136/bcr-2013-203342.

Abstract

Acute pericarditis is either dry, fibrinous or effusive, independent of its aetiology. A case is presented involving a 44-year-old man with acute pericarditis. The cause was established to be an aggravation of Graves' disease due to non-compliance with treatment. Pericarditis is an uncommon cardiac complication of Graves' disease and is associated with more recurrent episodes when not detected. Pharmacological treatment should include anti-inflammatory drugs in combination with treatment for hyperthyroidism. The specific pathophysiological link between the two conditions is still to be elucidated.

摘要

急性心包炎分为干性、纤维蛋白性或渗出性,与其病因无关。本文介绍了一例44岁男性急性心包炎病例。病因确定为因未遵医嘱治疗导致格雷夫斯病加重。心包炎是格雷夫斯病罕见的心脏并发症,若未被发现则更容易复发。药物治疗应包括抗炎药物并结合甲亢治疗。这两种病症之间具体的病理生理联系仍有待阐明。

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本文引用的文献

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Recurrent pericarditis: autoimmune or autoinflammatory?复发性心包炎:自身免疫性还是自身炎症性?
Autoimmun Rev. 2012 Nov;12(1):60-5. doi: 10.1016/j.autrev.2012.07.023. Epub 2012 Aug 2.
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Acute recurrent pericarditis accompanied by graves' disease.急性复发性心包炎伴格雷夫斯病。
Korean Circ J. 2012 Jun;42(6):419-22. doi: 10.4070/kcj.2012.42.6.419. Epub 2012 Jun 28.
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Long-term outcomes in difficult-to-treat patients with recurrent pericarditis.复发性心包炎难治性患者的长期预后
Am J Cardiol. 2006 Jul 15;98(2):267-71. doi: 10.1016/j.amjcard.2006.01.086. Epub 2006 Jun 5.
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Pericardial disease associated with Grave's thyrotoxicosis.
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