Kumar Ashwin K, Furqan Muhammad M, Yesilyaprak Abdullah, Verma Beni R, Gad Mohamed, Lak Hassan M, Gangadharamurthy Dakshin, Reyaldeen Reza, Klein Allan L
Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Cardiology, Magnolia Regional Health Center, Cornith, Mississippi, USA.
JACC Case Rep. 2021 May 26;3(9):1227-1230. doi: 10.1016/j.jaccas.2021.04.009. eCollection 2021 Aug 4.
A 29-year-old woman with severe ulcerative colitis presented with complicated recurrent pericarditis. Cardiac magnetic resonance imaging showed improvement in pericardial inflammation with a prolonged course of anti-inflammatory therapy, but she developed several relapses on biologics. Rilonacept (newer interleukin-1 antagonist), disease-modifying antirheumatic drugs, and pericardiectomy may be considered in such patients. ().
一名患有严重溃疡性结肠炎的29岁女性出现了复杂性复发性心包炎。心脏磁共振成像显示,经过长时间的抗炎治疗,心包炎症有所改善,但她在使用生物制剂时出现了几次复发。对于此类患者,可考虑使用利罗那肽(新型白细胞介素-1拮抗剂)、改善病情抗风湿药和心包切除术。()