Highlights the clinical association between inflammatory bowel disease and pericardial effusion, recommending vigilance for cardiac involvement in IBD patients with chest symptoms.
May prompt cardiac evaluation in IBD patients with chest symptoms; leaves open generalizability of this treatment response.
We report an 18-year-old man with a pericardial effusion complicating idiopathic ulcerative colitis. Circulating immune complexes were absent. He responded to sulfasalazine and prednisone, with resolution of the pericarditis and improvement in the symptoms of his inflammatory bowel disease (IBD). We recommend looking for pericardial effusion or pericarditis in patients with IBD and chest symptoms, and for IBD in obscure cases of these cardiac disorders.
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Farley et al. (1986) studied this question.
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