Massive Pericardial Effusion and Tamponade Can Be a First Sign of Familial Mediterranean Fever
Pediatric Emergency Care, cilt.33, sa.9, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 9
- Basım Tarihi: 2017
- Doi Numarası: 10.1097/pec.0000000000001251
- Dergi Adı: Pediatric Emergency Care
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Anahtar Kelimeler: cardiac tamponade, familial Mediterranean fever, pericardiocenthesis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Cardiac involvement is a rare initial presentation of familial Mediterranean fever (FMF). We described 2 children with massive pericardial effusion and cardiac tamponade, who were later diagnosed as having FMF based on clinical and laboratory findings. Therefore, in children presenting with massive pericardial effusion, FMF should be considered as one of the differential diagnoses. In addition, massive pericardial effusion is a serious clinical condition that requires emergency therapeutic approach including pericardiocenthesis. For medical treatment, colchicine is the first line therapy, but in resistant cases, other anti-inflammatory drugs can be used for extra anti-inflammatory effect.