Familial Mediterranean fever (FMF) is characterized by recurrent attacks of febrile serositis.
While arthritis, pleuritis and peritonitis are common in FMF, no association of pericarditis with FMF has been described in detail.
We retrospectively studied about 4000 FMF patients, using a computer chart review.
Pericarditis was diagnosed when patients sustained attacks of pleuritic retrosternal chest pain and had typical findings in the electrocardiogram, echocardiogram or chest radiogram.
The incidence and features of pericarditis in FMF were compared to published data.
Over a period of 20 years, one or more episodes of pericarditis were recorded in 27 patients, a significantly higher incidence than in the general population (68 vs. 6 per 105 per year, p<0.001).
Each patient experienced 1-3 pericarditis attacks, lasting a mean of 4.2 days, accompanied by high temperature and symptoms of FMF attack at another site.
The pericarditis attack resolved spontaneously and left no sequelae.
FMF patients with pericarditis were comparable to other FMF patients in most demographic and clinical parameters.
Pericarditis may be considered another rare manifestation of FMF.
Mots-clés Pascal : Péricardite, Rétrospective, Incidence, Polysérite familiale récidivante, Etude cohorte, Diagnostic différentiel, Symptomatologie, Prévention, Homme, Appareil circulatoire pathologie, Cardiopathie, Péricarde pathologie, Infection, Immunopathologie
Mots-clés Pascal anglais : Pericarditis, Retrospective, Incidence, Familial recurrent polyseritis, Cohort study, Differential diagnostic, Symptomatology, Prevention, Human, Cardiovascular disease, Heart disease, Pericardial disease, Infection, Immunopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0505130
Code Inist : 002B12A06. Création : 13/02/1998.