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Tag Archives: antineutrophil cytoplasmic antibodies (ANCA)

September 2008 Br J Cardiol 2008;15:271–2

Microscopic polyangiitis presenting as a pericardial effusion

Sajid Siddiqi, Sarah Rae, John Cooper

Abstract

Case report A 19-year-old white male non-smoker without any significant past medical, travel or drug history presented to Accident & Emergency with a one-week history of dry cough, muscle aches, night sweats, and left-sided pleuritic chest pain. On admission his temperature was 38.4°C, pulse 118 beats per minute and blood pressure 130/70 mmHg. The jugular venous pressure was elevated 5 cm above the sternal angle. He had normal heart sounds with a pericardial rub. There were no other signs and urine testing was normal. Figure 1. Chest X-ray showing cardiomegaly His inflammatory markers were raised with C-reactive protein (CRP) of 174 mg/L

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