Why the study?
Recurrent pericarditis presents a diagnostic and therapeutic challenge where incorrect diagnosis or treatment can cause further recurrences, risk of chronic constriction, or harmful therapies.
Accurate diagnosis of recurrent pericarditis using contemporary tools is essential to tailor treatment and prevent complications like chronic constriction.
Emphasizes diagnostic pitfalls and recurrence risks in pericarditis; leaves open optimal strategies for clinicians and researchers.
Introduction: Acute pericarditis is frequently complicated with recurrences, which represent a diagnostic and therapeutic challenge for the physician, a bothersome trouble for patients. An incorrect treatment of pericarditis may cause further recurrence of symptoms, while an incorrect diagnosis may cause either a prolonged symptoms course with a possible risk of chronic constriction, or useless and potentially harmful treatments.Areas covered: This review will focus on the most useful and recent diagnostic tools for recurrent pericarditis. Medline/Pubmed Library were screened with specific key search: ‘recurrent AND pericarditis’. The research was restricted to papers published in the last 5 years (2015–2019) and papers in English language, in order to appraise the latest advances in diagnostic assessment.Expert opinion: An accurate diagnosis of recurrent pericarditis is critical to provide timely and appropriate treatment of symptoms and prevention of further episodes. Diagnosis is made in case of recurrent symptoms associated with a documented evidence of pericardial inflammation. Further studies are needed to develop newer diagnostic tools aimed at identification of a predominant auto-inflammatory of auto-immune mechanism, which is essential to tailor the treatment.
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Andreis et al. (2019) studied this question.
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