Colchicine for steroid-resistant recurrent pericarditis in a child

Recurrent pericarditis is rare in children and is considered idiopathic in most cases. Its course is chronic, and preventing recurrences is important for the patient’s quality of life. Although a treatment strategy in pediatric recurrent pericarditis has not yet been established, non-steroidal anti-...

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Main Authors: Ju Hee Shin, Dong Hyun Lee, Hee Joung Choi
Format: Article
Language:English
Published: Yeungnam University College of Medicine 2018-12-01
Series:Yeungnam University Journal of Medicine
Subjects:
Online Access:http://yujm.yu.ac.kr/upload/pdf/yujm-2018-35-2-222.pdf
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author Ju Hee Shin
Dong Hyun Lee
Hee Joung Choi
author_facet Ju Hee Shin
Dong Hyun Lee
Hee Joung Choi
author_sort Ju Hee Shin
collection DOAJ
description Recurrent pericarditis is rare in children and is considered idiopathic in most cases. Its course is chronic, and preventing recurrences is important for the patient’s quality of life. Although a treatment strategy in pediatric recurrent pericarditis has not yet been established, non-steroidal anti-inflammatory drugs (NSAIDs) are the most common treatment for management of this condition, followed by corticosteroids, colchicine, immunosuppressive agents, immunoglobulins, and interleukin-1β receptor antagonists (e.g. anakinra). Herein, we report a case of recurrent pericarditis with pericardial effusion in a 5-year-old child who presented with fever and epigastric pain. He responded poorly to NSAIDs and corticosteroid therapy, but was successfully treated with colchicine.
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spelling doaj.art-15653b6e69dc4a7aa96d7f481797160d2022-12-22T03:15:47ZengYeungnam University College of MedicineYeungnam University Journal of Medicine2384-02932018-12-0135222222610.12701/yujm.2018.35.2.2222415Colchicine for steroid-resistant recurrent pericarditis in a childJu Hee ShinDong Hyun LeeHee Joung ChoiRecurrent pericarditis is rare in children and is considered idiopathic in most cases. Its course is chronic, and preventing recurrences is important for the patient’s quality of life. Although a treatment strategy in pediatric recurrent pericarditis has not yet been established, non-steroidal anti-inflammatory drugs (NSAIDs) are the most common treatment for management of this condition, followed by corticosteroids, colchicine, immunosuppressive agents, immunoglobulins, and interleukin-1β receptor antagonists (e.g. anakinra). Herein, we report a case of recurrent pericarditis with pericardial effusion in a 5-year-old child who presented with fever and epigastric pain. He responded poorly to NSAIDs and corticosteroid therapy, but was successfully treated with colchicine.http://yujm.yu.ac.kr/upload/pdf/yujm-2018-35-2-222.pdfChildrenColchicineRecurrent pericarditis
spellingShingle Ju Hee Shin
Dong Hyun Lee
Hee Joung Choi
Colchicine for steroid-resistant recurrent pericarditis in a child
Yeungnam University Journal of Medicine
Children
Colchicine
Recurrent pericarditis
title Colchicine for steroid-resistant recurrent pericarditis in a child
title_full Colchicine for steroid-resistant recurrent pericarditis in a child
title_fullStr Colchicine for steroid-resistant recurrent pericarditis in a child
title_full_unstemmed Colchicine for steroid-resistant recurrent pericarditis in a child
title_short Colchicine for steroid-resistant recurrent pericarditis in a child
title_sort colchicine for steroid resistant recurrent pericarditis in a child
topic Children
Colchicine
Recurrent pericarditis
url http://yujm.yu.ac.kr/upload/pdf/yujm-2018-35-2-222.pdf
work_keys_str_mv AT juheeshin colchicineforsteroidresistantrecurrentpericarditisinachild
AT donghyunlee colchicineforsteroidresistantrecurrentpericarditisinachild
AT heejoungchoi colchicineforsteroidresistantrecurrentpericarditisinachild