Key result
A 51-year-old man with an atypical presentation of constrictive pericarditis secondary to rheumatoid vasculitis experienced clinical improvement following pericardiectomy.
Case Report (n=1)
No
Constrictive pericarditis can be a rare manifestation of rheumatoid vasculitis, which may require surgical pericardiectomy if refractory to immunosuppressive medical therapy.
Rheumatoid vasculitis may present as constrictive pericarditis; leaves open whether this association alters diagnostic evaluation in similar cases.
We describe a case of rheumatoid vasculitis with an atypical presentation of constrictive pericarditis. A 51-year-old man who was previously admitted for diffuse lymphadenopathy, presented with chest pain and a lower extremity rash. Extensive workup including multimodality imaging, serology tests, and biopsy, resulted in the diagnosis of rheumatoid vasculitis.
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Kharsa et al. (2022) conducted a case report in Constrictive pericarditis and rheumatoid vasculitis (n=1). Pericardiectomy and immunosuppressive therapy was evaluated on Clinical improvement. A 51-year-old man with an atypical presentation of constrictive pericarditis secondary to rheumatoid vasculitis experienced clinical improvement following pericardiectomy.
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