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September 1, 2005Lupus

Idiopathic recurrent acute pericarditis: familial Mediterranean fever mutations and disease evolution in a large cohort of Caucasian patients

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Population

46 consecutive Caucasian patients with idiopathic recurrent acute pericarditis (IRAP)

Design

Cohort

Key result

Among patients with idiopathic recurrent acute pericarditis, 8.7% developed primary Sjögren's syndrome and 2.2% rheumatoid arthritis, with no FMF mutations found, supporting an autoimmune etiology.

Authors

ABAntonio BrucatoYSYael ShinarGBGiovanni Brambilla

Discussion

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Overview

May warrant autoimmune evaluation in idiopathic recurrent pericarditis; leaves open whether screening improves outcomes.

Study Design

Type

Cohort (n=46)

Structured PICO

P
Population
46 Caucasian patients with idiopathic recurrent acute pericarditis followed to assess new autoimmune diagnoses, HLA typing, and FMF mutations.
O
Outcome
Occurrence of new diagnoses of autoimmune diseases, HLA typing, and presence of mutations linked to familial Mediterranean fever (MEFV gene)

The development of definite immunorheumatological diseases and the absence of FMF mutations support the hypothesis that idiopathic acute recurrent pericarditis is an autoimmune condition.

Cite This Study

Brucato et al. (2005) conducted a cohort in Idiopathic recurrent acute pericarditis (n=46). Idiopathic recurrent acute pericarditis was evaluated on Occurrence of new diagnoses of autoimmune diseases, HLA typing, and presence of FMF mutations. Among patients with idiopathic recurrent acute pericarditis, 8.7% developed primary Sjögren's syndrome and 2.2% rheumatoid arthritis, with no FMF mutations found, supporting an autoimmune etiology.

synapsesocial.com/papers/6a1f0d5d9bbe36aec96b73bahttps://doi.org/10.1191/0961203305lu2197oa
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