[Myopericarditis during Horton disease]

Rev Med Interne. 2003 Mar;24(3):189-94. doi: 10.1016/s0248-8663(02)00809-3.
[Article in French]

Abstract

Introduction: Myopericarditis is an rare form of Horton disease. We report two new cases.

Method: Two patients, more than 60-years-old, had developed global cardiac insufficiency with predominant left insufficiency, with physical alteration and biological inflammation. Echocardiography revealed a myopericarditis. Bacteriological explorations were all negative. In the two cases, temporal artery biopsy revealed giant cell arteritis. Treatment with oral corticosteroids improved biological and clinical symptoms.

Conclusion: Myopericarditis is a rare form of Horton disease. Classical clinical presentation is rarely associated. Temporal artery biopsy is essential in confirming and proposing a specific therapy, in order to prevent cardiovascular ischemic complications.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Aged
  • Echocardiography
  • Female
  • Giant Cell Arteritis / complications*
  • Humans
  • Pericarditis / drug therapy
  • Pericarditis / etiology*
  • Pericarditis / pathology

Substances

  • Adrenal Cortex Hormones