Colchicine for steroid-resistant recurrent pericarditis in a child
- Author(s)
- Ju Hee Shin; Dong Hyun Lee; Hee Joung Choi
- Keimyung Author(s)
- Choi, Hee Joung
- Department
- Dept. of Pediatrics (소아청소년학)
- Journal Title
- Yeungnam University Journal of Medicine
- Issued Date
- 2018
- Volume
- 35
- Issue
- 2
- Keyword
- Children; Colchicine; Recurrent pericarditis
- Abstract
- Recurrent pericarditis is rare in children and is considered idiopathic in most cases. Its course is chronic, and preventing recurrences is important for the patient’s quality of life. Although a treatment strategy in pediatric recurrent pericarditis has not yet been established, non-steroidal anti-inflammatory drugs (NSAIDs) are the most common treatment for management of this condition, followed by corticosteroids, colchicine, immunosuppressive agents, immunoglobulins, and interleukin-1β receptor antagonists (e.g. anakinra). Herein, we report a case of recurrent pericarditis with pericardial effusion in a 5-year-old child who presented with fever and epigastric pain. He responded poorly to NSAIDs and corticosteroid therapy, but was successfully treated with colchicine.
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