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Successful Treatment with Corticosteroids in an 11-Year-Old Patient with Crohn's Disease and Myopericarditis-Case Report.

Successful Treatment with Corticosteroids in an 11-Year-Old Patient with Crohn's Disease and Myopericarditis-Case Report.

Authors :
Ryzko J
Zdanowicz K
Lebensztejn DM
Daniluk U
Source :
Pediatric reports [Pediatr Rep] 2022 Jan 11; Vol. 14 (1), pp. 26-31. Date of Electronic Publication: 2022 Jan 11.
Publication Year :
2022

Abstract

Extraintestinal manifestations (EIMs) are observed in 15-20% of patients with inflammatory bowel disease (IBD). One of the rare EIMs is myocarditis, the incidence of which is estimated at around 1%. The main cause of myocarditis is a viral infection. Other causes include autoimmune diseases and drug complications (sulfasalazine, mesalazine). We present the case of an 11-year-old girl with Crohn's disease (CD) with EIMs, manifested as hip joint inflammation and erythema nodosum. At the same time, the symptoms of myopericarditis appeared with changes in electrocardiogram (ECG), echocardiography and high troponin I concentration. Therapy with corticosteroids resulted in the resolution of skin lesions and cardiological symptoms. Systemic connective tissue diseases, viral and bacterial infections were excluded in the differential diagnosis. The suspicion of mesalazine-induced EIMs was also ruled out as the symptoms resolved despite continued therapy with mesalazine. No further recurrences of myopericarditis were observed.

Details

Language :
English
ISSN :
2036-749X
Volume :
14
Issue :
1
Database :
MEDLINE
Journal :
Pediatric reports
Publication Type :
Report
Accession number :
35076578
Full Text :
https://doi.org/10.3390/pediatric14010005