Recurrent pericarditis and cardiac tamponade in a patient with hypocomplementemic urticarial vasculitis syndrome

We describe a patient with hypocomplementemic urticarial vasculitis syndrome complicated by recurrent pericarditis and cardiac tamponade. The episodes of pericarditis were associated with urticarial vasculitis, hypocomplementemia, and circulating IgG antibodies to the collagen-like region of Clq. Hi...

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Bibliographic Details
Published inJournal of rheumatology Vol. 18; no. 5; p. 752
Main Authors Babajanians, A, Chung-Park, M, Wisnieski, J J
Format Journal Article
LanguageEnglish
Published Canada 01.05.1991
Subjects
Cardiac Tamponade - blood
Cardiac Tamponade - complications
Cardiac Tamponade - pathology
Complement System Proteins - analysis
Female
Humans
Immunoglobulin G - analysis
Middle Aged
Pericarditis - blood
Pericarditis - complications
Pericarditis - pathology
Syndrome
Urticaria - blood
Urticaria - complications
Urticaria - pathology
Vasculitis - blood
Vasculitis - complications
Vasculitis - pathology
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Summary:We describe a patient with hypocomplementemic urticarial vasculitis syndrome complicated by recurrent pericarditis and cardiac tamponade. The episodes of pericarditis were associated with urticarial vasculitis, hypocomplementemia, and circulating IgG antibodies to the collagen-like region of Clq. Histopathologic examination of the skin and pericardium demonstrated vasculitis associated with immunoglobulin and complement deposition suggesting an immune complex mediated etiology. Recurrent pericarditis should be included in the clinical spectrum of hypocomplementemic urticarial vasculitis syndrome.
ISSN:0315-162X