{"id":5041,"date":"2015-02-26T12:50:11","date_gmt":"2015-02-26T12:50:11","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/diagnosis-of-autoreactive-pericarditis\/"},"modified":"2026-04-06T19:26:55","modified_gmt":"2026-04-06T19:26:55","slug":"diagnosis-of-autoreactive-pericarditis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/diagnosis-of-autoreactive-pericarditis\/","title":{"rendered":"Diagnosis of Autoreactive Pericarditis"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Recently, the term &#8220;autoreactive pericarditis&#8221; has been introduced to describe patients with identification of elements indicative of an autoimmune response who would otherwise be classed as idiopathic.<br \/>\n<!--more--><br \/>\n<strong>Diagnosis of Autoreactive Pericarditis<\/strong><br \/>\nThe diagnosis of autoreactive pericarditis is established\u00a0using the following criteria:<\/p>\n<ol>\n<li>Increased number of\u00a0lymphocytes and mononuclear cells &gt;5000\/mm<sup>3<\/sup> (autoreactive\u00a0lymphocytic), or the presence of antibodies\u00a0against heart muscle tissue (antisarcolemmal) in the\u00a0pericardial fluid (autoreactive antibody-mediated);<\/li>\n<li>Inflammation in epicardial\/endomyocardial biopsies by\u00a0P14 cells\/mm<sup>2<\/sup>;<\/li>\n<li>Exclusion of active viral infection\u00a0both in pericardial effusion and endomyocardial\/epimyocardial\u00a0biopsies (no virus isolation, no IgM-titer\u00a0against cardiotropic viruses in pericardial effusion, and\u00a0negative PCR for major cardiotropic viruses);<\/li>\n<li>Tuberculosis,\u00a0Borrelia burgdorferi, Chlamydia pneumoniae,\u00a0and other bacterial infection excluded by PCR and\/or\u00a0cultures;<\/li>\n<li>Neoplastic infiltration absent in pericardial\u00a0effusion and biopsy samples;<\/li>\n<li>Exclusion of systemic,\u00a0metabolic disorders, and uraemia. Intrapericardial\u00a0treatment with triamcinolone is highly efficient with rare\u00a0side effects.<\/li>\n<\/ol>\n<p>Pericarditis occurs in systemic autoimmune diseases: rheumatoid arthritis, systemic lupus erythematosus, progressive systemic sclerosis, polymyositis\/ dermatomyositis, mixed connective tissue disease, seronegative spondyloarthropathies, systemic and hypersensitivity vasculitides, Beh\u00e7et syndrome, Wegener granulomatosis, and sarcoidosis. Intensified treatment of the underlying disease and symptomatic management are indicated.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Maisch B, Seferovic PM, Ristic AD, Erbel R, Rienm\u00fcller R, Adler Y, Tomkowski WZ, Thiene G, Yacoub MH; Task Force on the Diagnosis and Management of Pricardial Diseases of the European Society of Cardiology. Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology.\u00a0Eur Heart J. 2004 Apr;25(7):587-610.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15120056\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Sagrist\u00e0 Sauleda J1, Permanyer Miralda G, Soler Soler J. Diagnosis and management of acute pericardial syndromes. Rev Esp Cardiol. 2005 Jul;58(7):830-41.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16022815\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>LeWinter MM. Clinical practice. Acute pericarditis. N Engl J Med. 2014 Dec 18;371(25):2410-6.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25517707\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Maisch B, Ristic AD, Pankuweit S. Intrapericardial treatment of autoreactive pericardial effusion with triamcinolone; the way to avoid side effects of systemic corticosteroid therapy.\u00a0Eur Heart J. 2002 Oct;23(19):1503-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12242070\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Peterson TA, Turner SP, Dolezal KA. Acute Pericarditis: Rapid Evidence Review. Am Fam Physician. 2024 May;109(5):441-446. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38804758\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Mar 16, 2015.<br \/>\nUp-date Apr 6, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[827,828,123,13,829],"class_list":["post-5041","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-autoreactive","tag-autorreactiva","tag-diagnosis","tag-diagnostico","tag-pericarditis"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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