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Adult-Onset Still's Disease and Cardiac Tamponade: A Rare Association

2015; Texas Heart Institute; Volume: 42; Issue: 3 Linguagem: Inglês

10.14503/thij-14-4101

1526-6702

Pedro Carrilho‐Ferreira, Doroteia Silva, Maria de Jesus Silva, Rui André, Manuel Varela, António Nunes Diogo,

Kawasaki Disease and Coronary Complications

Adult-onset Still's disease is a rare disorder with potentially severe clinical features, including cardiac involvement. This systemic inflammatory disease of unknown origin should be considered in the differential diagnosis of pericarditis, with or without pericardial effusion. Cardiac tamponade is a very rare sequela that requires an invasive approach, such as percutaneous or surgical pericardial drainage, in addition to the usual conservative therapy. The authors describe a case of adult-onset Still's disease rendered more difficult by pericarditis and cardiac tamponade, and they briefly review the literature on this entity.