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Subacute Constrictive Uremic Pericarditis

Subacute Constrictive Uremic Pericarditis Abstract PERICARDITIS occurs commonly in the terminal stages of chronic renal failure.1 Until recently the pericarditis was of minor importance, serving only as a warning that early death was a strong probability. Lately reports have appeared of uremic pericarditis with a hemorrhagic characteristic producing tamponade or even constriction.2-4 As procedures for dialysis and transplantation improve, more patients have potentially reversible or even curable uremia. Under these circumstances the recognition and surgical treatment of uremic constrictive pericarditis become of practical importance. Dialysis may alleviate the uremia and permit surgical excision of the pericardium. The patient to be described lived long enough to die with some of the clinical features of constrictive pericarditis. This report is published to alert others to this condition in the hope that death can be avoided in future cases. Report of a Case A 30-year-old woman was first admitted to the Toronto General Hospital on Jan References 1. Wacker, W., and Merrill, J.P.: Uremic Pericarditis in Acute and Chronic Renal Failure , JAMA 156:764-765 ( (Oct 23) ) 1954.Crossref 2. Rappaport, H.R.: Uremic Pericarditis and Tamponade in a Ten-Year-Old Girl , J Mount Sinai Hosp NY 29:334-338 ( (July-Aug) ) 1962. 3. Beaudry, C.; Nakamoto, S.; and Kolff, W.J.: Uremic Pericarditis and Cardiac Tamponade in Chronic Renal Failure , Ann Intern Med 64:990-995 ( (May) ) 1966.Crossref 4. Delahaye, J.P., et al: Pericardite urémique à évolution constrictive subaiguë , Arch Mal Coeur 57:967-980 ( (Aug) ) 1964. 5. Bain, H.W.; McLean, D.M.; and Walker, Selma J.: Epidemic Pleurodynia (Bornholm Disease) Due to Coxsackie B-5 Virus: The Interrelationship of Pleurodynia, Benign Pericarditis, and Aseptic Meningitis , Pediatrics 27:889-903 ( (June) ) 1961. 6. Yurchak, P.M.; Levine, S.A.; and Gorlin, R.: Constrictive Pericarditis Complicating Disseminated Lupus Erythematosus , Circulation 31:113-118 ( (Jan) ) 1965.Crossref 7. Deterling, R.A., Jr., and Humphreys, G.F., II: Factors in the Etiology of Constrictive Pericarditis , Circulation 12:30-43 ( (July) ) 1955.Crossref 8. Paul, O.; Castleman, B.; and White, P.D.: Chronic Constrictive Pericarditis: A Study of 53 Cases. Amer J Med Sci 216:361-377 ( (Oct) ) 1948.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Subacute Constrictive Uremic Pericarditis

Archives of Internal Medicine , Volume 119 (6) – Jun 1, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1967.00290240166018
Publisher site
See Article on Publisher Site

Abstract

Abstract PERICARDITIS occurs commonly in the terminal stages of chronic renal failure.1 Until recently the pericarditis was of minor importance, serving only as a warning that early death was a strong probability. Lately reports have appeared of uremic pericarditis with a hemorrhagic characteristic producing tamponade or even constriction.2-4 As procedures for dialysis and transplantation improve, more patients have potentially reversible or even curable uremia. Under these circumstances the recognition and surgical treatment of uremic constrictive pericarditis become of practical importance. Dialysis may alleviate the uremia and permit surgical excision of the pericardium. The patient to be described lived long enough to die with some of the clinical features of constrictive pericarditis. This report is published to alert others to this condition in the hope that death can be avoided in future cases. Report of a Case A 30-year-old woman was first admitted to the Toronto General Hospital on Jan References 1. Wacker, W., and Merrill, J.P.: Uremic Pericarditis in Acute and Chronic Renal Failure , JAMA 156:764-765 ( (Oct 23) ) 1954.Crossref 2. Rappaport, H.R.: Uremic Pericarditis and Tamponade in a Ten-Year-Old Girl , J Mount Sinai Hosp NY 29:334-338 ( (July-Aug) ) 1962. 3. Beaudry, C.; Nakamoto, S.; and Kolff, W.J.: Uremic Pericarditis and Cardiac Tamponade in Chronic Renal Failure , Ann Intern Med 64:990-995 ( (May) ) 1966.Crossref 4. Delahaye, J.P., et al: Pericardite urémique à évolution constrictive subaiguë , Arch Mal Coeur 57:967-980 ( (Aug) ) 1964. 5. Bain, H.W.; McLean, D.M.; and Walker, Selma J.: Epidemic Pleurodynia (Bornholm Disease) Due to Coxsackie B-5 Virus: The Interrelationship of Pleurodynia, Benign Pericarditis, and Aseptic Meningitis , Pediatrics 27:889-903 ( (June) ) 1961. 6. Yurchak, P.M.; Levine, S.A.; and Gorlin, R.: Constrictive Pericarditis Complicating Disseminated Lupus Erythematosus , Circulation 31:113-118 ( (Jan) ) 1965.Crossref 7. Deterling, R.A., Jr., and Humphreys, G.F., II: Factors in the Etiology of Constrictive Pericarditis , Circulation 12:30-43 ( (July) ) 1955.Crossref 8. Paul, O.; Castleman, B.; and White, P.D.: Chronic Constrictive Pericarditis: A Study of 53 Cases. Amer J Med Sci 216:361-377 ( (Oct) ) 1948.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jun 1, 1967

References