RALPH A. BREITENSTEIN, M.D.; ANTONE F. SALEL, M.D.; DAVID W. WATSON, M.D.
To the editor: Chronic inflammatory bowel disease has been associated with numerous extraintestinal lesions, mainly in the skin, mucous membranes, joints, and hepatobiliary system (1, 2). Three previous reports have described its association with pericarditis (3, 4, 5). This case is, to our knowledge, the first reported instance of associated pericardial tamponade.
A 22-year-old black man developed diarrhea in 1968 and, subsequently, abdominal cramps with bloody diarrhea; ulcerative colitis was diagnosed. A later biopsy showed granulomatous lesions in the colon compatible with granulomatous colitis. In 1970, he noted the onset of arthritis, thought to be secondary to the bowel disease.
BREITENSTEIN RA, SALEL AF, WATSON DW. Chronic Inflammatory Bowel Disease: Acute Pericarditis and Pericardial Tamponade. Ann Intern Med. ;81:406. doi: 10.7326/0003-4819-81-3-406_1
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Published: Ann Intern Med. 1974;81(3):406.
Cardiology, Gastroenterology/Hepatology, Inflammatory Bowel Disease, Pericardial Disease.
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