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- P Smets, G Guettrot-Imbert, M Hermet, I Delevaux, J-L Kemeny, O Aumaître, and M André.
- Service de médecine interne, centre hospitalier universitaire Gabriel Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand cedex 1, France.
- Rev Med Interne. 2013 Sep 1; 34 (9): 573-6.
IntroductionMost of recurrent pericarditis are idiopathic and only 15 to 20% have a specific diagnosis. Primary pericardial mesothelioma is a rare cause of recurrent pericarditis. Diagnosis can be challenging and antedates patient's death in only 10 to 20% of cases. Histology of mesothelioma and immunohistochemistry are mandatory for the diagnosis. Median of survival before using pemetrexed was about 6 months after diagnosis.Case ReportWe report the history of a 64-year-old woman for which repeated biopsy for recurrent pericarditis was necessary to diagnose a primary pericardial mesothelioma. The first biopsy had only found mesothelial hyperplasia.ConclusionThis case report highlights the necessity of repeat pericardial biopsy in the case of adverse outcome.Copyright © 2013 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.
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