Myocardiopericarditis in adult still’s disease

Horna N M.; Romero R.; Larrauri C.; Córdova F.; Mispireta J.M.; Alarcón J. · Archivos Peruanos de Cardiologia y Cirugia Cardiovascular (2020) · DOI: 10.47487/apcyccv.v1i3.65

Resumen

Cardiac involvement in Adult-onset Still’s Disease (AOSD) usually manifests as a pericardial disease, that has a benign course. The myocarditis is a rare complication with 7% of prevalence. The diagnosis of AOSD is based in the Yamaguchi or Fautrel criteria. The treatment with steroids and methotrexate is the first and second therapeutic lines, respectively, the combination is effective in 70% of cases. We report a case of AOSD with unusual presentation due to myocardial and pericardial commitment.