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Recurrent myopericarditis in association with Crohn's disease
Author(s) -
Hyttinen L.,
KaipiainenSeppänen O.,
Halinen M.
Publication year - 2003
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1046/j.1365-2796.2003.01082.x
Subject(s) - myopericarditis , medicine , pericarditis , atrioventricular block , pericardial effusion , crohn's disease , gastroenterology , heart block , cardiology , disease , surgery , electrocardiography
. Hyttinen L, Kaipiainen‐Seppänen O, Halinen M (Kuopio University Hospital, Kuopio, Finland). Recurrent myopericarditis in association with Crohn's disease (Case report). J Intern Med 2003; 253: 386–388. Myopericarditis is a rare extraintestinal complication of inflammatory bowel disease (IBD). It has also been described as a side‐effect of the treatment of IBD. We report a 37‐year‐old‐woman with Crohn's disease who had several mild episodes of myopericarditis, two of which were associated with a pleural effusion, and two with conduction abnormalities in the atrioventricular node. During the last episode, a nodal rhythm was followed by a third‐degree atrioventricular block and a prolonged pause, resulting in loss of consciousness and convulsions. A permanent pacemaker was implanted. Our patient is also human lymphocyte antigen (HLA) B27‐positive. HLA B27 is known to be associated with conduction disturbances in the AV node. Recurrent myopericarditis can be a sign of IBD.