Pericardial effusion in giant cell arteritis is associated with increased inflammatory markers: a retrospective cohort study
- 07.05.2022
- Observational Research
Erschienen in:
- Verfasst von
- Quentin Gomes de Pinho
- Aurélie Daumas
- Audrey Benyamine
- Julien Bertolino
- Pascal Rossi
- Nicolas Schleinitz
- Jean-Robert Harlé
- Pierre André Jarrot
- Gilles Kaplanski
- Julie Berbis
- Brigitte Granel
- Erschienen in
- Rheumatology International | Ausgabe 11/2022
Abstract
Objective
Giant cell arteritis (GCA) is the most frequent vasculitis affecting adults aged > 50 years. Cardiac involvement in GCA is considered rare, and only a few cases of pericarditis have been reported. The aim of this study was to determine the characteristics and prognosis of GCA patients suffering from pericardial involvement at diagnosis.
Methods
We conducted a single-centre, retrospective chart review of patients with GCA in internal medicine departments (from 2000 to 2020). Patients were identified through a centralized hospital database. We retrospectively collected demographic, clinicobiological, histological, imaging, treatment and outcome data. Patients with pericardial effusion, defined as an effusion visible on the CT-scan performed at GCA diagnosis were compared to those without pericardial involvement.
Results
Among the 250 patients with GCA, 23 patients (9.2%) had pericardial effusion on CT-scan. The comparison between the groups revealed similar distribution of age, gender, cranial symptoms and ocular ischaemic complications. Patients with pericardial effusion had a higher frequency of weight loss. They also had lower haemoglobin levels and higher platelet levels (p = 0.006 and p = 0.002, respectively), and they more frequently had positive temporal artery biopsy. There were no differences concerning the treatment, relapses, follow-up duration or deaths.
Conclusions
This case series sheds light on GCA as a cause of unexplained pericardial effusion or symptomatic pericarditis among adults aged > 50 years and elevated inflammatory biological markers. Fortunately, pericardial involvement is a benign GCA manifestation. In that context, the search for constitutional symptoms, cranial symptoms and associated signs of polymyalgia rheumatica is crucial for rapidly guiding GCA diagnosis.
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- Titel
- Pericardial effusion in giant cell arteritis is associated with increased inflammatory markers: a retrospective cohort study
- Verfasst von
-
Quentin Gomes de Pinho
Aurélie Daumas
Audrey Benyamine
Julien Bertolino
Pascal Rossi
Nicolas Schleinitz
Jean-Robert Harlé
Pierre André Jarrot
Gilles Kaplanski
Julie Berbis
Brigitte Granel
- Publikationsdatum
- 07.05.2022
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Rheumatology International / Ausgabe 11/2022
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X - DOI
- https://doi.org/10.1007/s00296-022-05137-w
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