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KMID : 1100320180350020222
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Yeungnam University Journal of Medicine
2018 Volume.35 No. 2 p.222 ~ p.226
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Colchicine for steroid-resistant recurrent pericarditis in a child
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Shin Ju-Hee
Lee Dong-Hyun
Choi Hee-Joung
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Abstract
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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.
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KEYWORD
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Children, Colchicine, Recurrent pericarditis
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