Key result
Cholesterol pericarditis may present with minimal effusion and rapidly progress to constriction requiring pericardiectomy.
Case Report (n=1)
Cholesterol pericarditis can present atypically with minimal effusion and rapidly progress to constrictive physiology.
Cholesterol pericarditis can cause constriction in RA; leaves open optimal diagnostic and therapeutic strategies.
A middle-aged woman with rheumatoid arthritis presented with treatment-refractory pericarditis. Symptoms persisted despite escalation of immunosuppression, and she had recurrent admissions for heart failure. Imaging revealed minimal pericardial effusion and a thickened pericardium. Invasive hemodynamics confirmed constrictive physiology, and a pericardiectomy was required. Pathology testing confirmed cholesterol pericarditis, a rare condition of inflammatory cholesterol deposits within the pericardium. Previous reports describe moderate-to-large volumes of gold-coloured pericardial fluid. This case illustrates that cholesterol pericarditis can present with minimal pericardial effusion and rapidly progress to pericardial constriction.
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Kafil et al. (2021) conducted a case report in Cholesterol pericarditis (n=1). Cholesterol pericarditis was evaluated. Cholesterol pericarditis can present with minimal pericardial effusion and rapidly progress to pericardial constriction requiring pericardiectomy.
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