This case report documents an extremely rare instance of cholesterol pericarditis, contributing to the early understanding of its pathogenesis.
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Rare case informs pericardial effusion differentials; leaves open pathogenesis and management pending further evidence.
Excerpt Cholesterol pericarditis is a very rare disease and, at present, very poorly understood. Reports of only 11 cases have appeared in the world literature, four of them in American medical journals.1, 2, 3, 9 The first reported autopsy was done on one of the latter cases. The present case is the twelfth reported, and the second in this country in which an autopsy was performed. It is therefore understandable that the disease at this time is far from being well known, especially from the standpoint of pathogenesis. This will be discussed in more detail later in this paper.
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A 1957 study studied this question.
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