Krusche M, Schneider U, Ruffer N
Medizinische Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.
Klinik für Rheumatologie und Immunologie, Klinikum Bad Bramstedt, Bad Bramstedt, Deutschland.
Z Rheumatol. 2021 Feb;80(1):54-64. doi: 10.1007/s00393-020-00925-w. Epub 2020 Nov 20.
Pericarditis is the term for inflammatory involvement of the pericardium, which can be associated with pericardial effusion and myocardial involvement (perimyocarditis). Pericarditis can be present in the context of systemic inflammatory rheumatic diseases but can also constitute a distinct disease entity. Idiopathic recurrent pericarditis (IRP) describes relapsing conditions of pericarditis with an unknown cause, which show essential common features with autoinflammatory diseases. This article gives an overview of the frequency of pericarditis in systemic rheumatic diseases. Moreover, the clinical manifestations and pathophysiology of IRP are discussed. Finally, the therapeutic algorithms for acute and idiopathic pericarditis are explained.
心包炎是指心包的炎症性病变，可伴有心包积液和心肌受累（心肌心包炎）。心包炎可出现在全身性炎症性风湿性疾病的背景下，但也可构成一种独特的疾病实体。特发性复发性心包炎（IRP）描述了病因不明的心包炎复发情况，其与自身炎症性疾病具有基本的共同特征。本文概述了全身性风湿性疾病中心包炎的发生率。此外，还讨论了IRP的临床表现和病理生理学。最后，解释了急性和特发性心包炎的治疗算法。
