Colchicine for steroid-resistant recurrent pericarditis in a child
10.12701/yujm.2018.35.2.222
- Author:
Ju Hee SHIN
1
;
Dong Hyun LEE
;
Hee Joung CHOI
Author Information
1. Department of Pediatrics, Keimyung University School of Medicine, Daegu, Korea. joung756@dsmc.or.kr
- Publication Type:Case Report
- From:Yeungnam University Journal of Medicine
2018;35(2):222-226
- CountryRepublic of Korea
- Language:English
-
Abstract:
Recurrent pericarditis is rare in children and is considered idiopathic in most cases. Its course is chronic, and preventing recurrences is important for the patient's quality of life. Although a treatment strategy in pediatric recurrent pericarditis has not yet been established, non-steroidal anti-inflammatory drugs (NSAIDs) are the most common treatment for management of this condition, followed by corticosteroids, colchicine, immunosuppressive agents, immunoglobulins, and interleukin-1β receptor antagonists (e.g. anakinra). Herein, we report a case of recurrent pericarditis with pericardial effusion in a 5-year-old child who presented with fever and epigastric pain. He responded poorly to NSAIDs and corticosteroid therapy, but was successfully treated with colchicine.
