Concurrent Sweet’s syndrome and myopericarditis following mesalamine therapy

Mesalamine, or 5-aminosalicylic acid, is a frequently used medication for the treatment of inflammatory bowel disease (IBD). We report the case of a 40-year-old woman recently diagnosed with IBD and started on mesalamine, who presented with new onset tender skin lesions 3 days following medication a...

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Published inBMJ case reports Vol. 2018; p. bcr-2017-223851
Main Authors Shabtaie, Samuel A, Tan, Nicholas Y, Parikh, Riddhi S, Papadakis, Konstantinos A
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 23.03.2018
BMJ Publishing Group
SeriesCase Report
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Abstract Mesalamine, or 5-aminosalicylic acid, is a frequently used medication for the treatment of inflammatory bowel disease (IBD). We report the case of a 40-year-old woman recently diagnosed with IBD and started on mesalamine, who presented with new onset tender skin lesions 3 days following medication administration. One day following the onset of skin lesions, the patient developed acute chest pain, shortness of breath, ECG changes, troponemia, C-reactive protein elevation and pericardial enhancement on cardiac MRI consistent with myopericarditis. Subsequent skin biopsy confirmed the diagnosis of Sweet’s syndrome. On cessation of the drug, both the skin lesions and the cardiac symptoms resolved in combination with anti-inflammatory therapy. While mesalamine has been previously associated with myocarditis and pericarditis, to our knowledge this is the first case of coexisting Sweet’s syndrome with myopericarditis in the context of mesalamine therapy.
AbstractList Mesalamine, or 5-aminosalicylic acid, is a frequently used medication for the treatment of inflammatory bowel disease (IBD). We report the case of a 40-year-old woman recently diagnosed with IBD and started on mesalamine, who presented with new onset tender skin lesions 3 days following medication administration. One day following the onset of skin lesions, the patient developed acute chest pain, shortness of breath, ECG changes, troponemia, C-reactive protein elevation and pericardial enhancement on cardiac MRI consistent with myopericarditis. Subsequent skin biopsy confirmed the diagnosis of Sweet's syndrome. On cessation of the drug, both the skin lesions and the cardiac symptoms resolved in combination with anti-inflammatory therapy. While mesalamine has been previously associated with myocarditis and pericarditis, to our knowledge this is the first case of coexisting Sweet's syndrome with myopericarditis in the context of mesalamine therapy.
Author Parikh, Riddhi S
Shabtaie, Samuel A
Tan, Nicholas Y
Papadakis, Konstantinos A
AuthorAffiliation 2 Division of Gastroenterology and Hepatology , Mayo Clinic , Rochester , Minnesota , USA
1 Department of Internal Medicine , Mayo Clinic , Rochester , Minnesota , USA
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  givenname: Samuel A
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  givenname: Nicholas Y
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CitedBy_id crossref_primary_10_1111_jgh_15570
crossref_primary_10_3389_fimmu_2019_00414
crossref_primary_10_1002_acg2_61
crossref_primary_10_1155_2021_6621007
Cites_doi 10.1345/aph.1K288
10.1016/j.repc.2012.12.018
10.1016/0140-6736(90)90387-K
10.1007/s00384-004-0706-1
10.4212/cjhp.v69i6.1610
10.1093/eurheartj/ehn615
10.1186/1750-1172-2-34
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10.4061/2010/930190
10.1016/S0190-9622(96)90080-8
10.1097/01.MIB.0000209788.19952.b7
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Copyright BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Copyright: 2018 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018
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Keywords pericardial disease
crohn’s disease
drugs: gastrointestinal system
inflammatory bowel disease
unwanted effects / adverse reactions
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Snippet Mesalamine, or 5-aminosalicylic acid, is a frequently used medication for the treatment of inflammatory bowel disease (IBD). We report the case of a...
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StartPage bcr-2017-223851
SubjectTerms Abdomen
Adult
Anti-Inflammatory Agents - therapeutic use
Antibiotics
Biopsy
Case reports
Crohn Disease - drug therapy
Crohns disease
Data collection
Edema
Electrocardiography
Female
Fever
Humans
Inflammatory bowel disease
Magnetic Resonance Imaging
Mesalamine - adverse effects
Myocarditis - chemically induced
Myocarditis - drug therapy
Neutrophils
NMR
Nuclear magnetic resonance
Pain
Pericarditis
Pericarditis - chemically induced
Pericarditis - drug therapy
Sinuses
Skin
Skin diseases
Sweet Syndrome - chemically induced
Sweet Syndrome - drug therapy
Treatment Outcome
Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions
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Title Concurrent Sweet’s syndrome and myopericarditis following mesalamine therapy
URI http://dx.doi.org/10.1136/bcr-2017-223851
https://www.ncbi.nlm.nih.gov/pubmed/29574433
https://www.proquest.com/docview/2017581521
https://search.proquest.com/docview/2018662659
https://pubmed.ncbi.nlm.nih.gov/PMC5878295
Volume 2018
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