Journal of Yeungnam Medical Science

Case Report

Colchicine for steroid-resistant recurrent pericarditis in a child: Ju Hee Shin, Dong Hyun Lee, Hee Joung Choi; Yeungnam Univ J Med. 2018;35(2):222-226. Published online December 31, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.2.222

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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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