Acute Recurrent Pericarditis

= recurrence of Acute Pericarditis (AP) after free interval >4-6 weeks without symptoms, >1/4 of AP cases

RED FLAGS: 

Fever > 38C, deterioration of health status, Subacute ≠ acute onset, Abundant effusion, Early failure of NSAID/aspirin, Myopericarditis, Systemic symptoms: pulmonary manifestations, eosinophilia. arthralgia, cutaneous manifestations,

TREATMENT

 • 1st Episode of AP: Dual therapy with aspirin/NSAlD >2 weeks (3 g/day) + colchicine >3 rno. (0.5-1 mg/d), Tapering according to CRP monitoring

 • 2nd episode of AP: Prolonged dual therapy with colchicine >6 months



By Dr. Noémie Saada



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