Cardiac Tamponade in Systemic Sclerosis A Case Report and Review of 18 Reported Cases

摘要

Cardiac tamponade is a rare manifestation of systemic sclerosis. We report a man with diffuse systemic sclerosis with a hemorrhagic pericardial effusion who developed cardiac tamponade. He was treated successfully with corticosteroids, subtotal pericardectomy, and methotrexate. While pericardial effusion is common in patients with systemic sclerosis, the development of cardiac tamponade is rare. Cardiac tamponade has been described in patients with diffuse and with limited systemic sclerosis.A literature review uncovered a total of 18 reported cases of cardiac tamponade in patients with systemic sclerosis. An analysis of the patients reported showed no statistically significant differences in the age at presentation or the average duration of disease between men and women who developed cardiac tamponade.