Stabbing Yourself in the Heart: A Case of Autoimmunity Gone Awry
Within internal medicine, cardiac and neurologic pathology comprises a vast majority of patient complaints. Physicians and advanced-care practitioners must be highly educated and comfortable in the evaluation, diagnosis, and management of these entities. Chest pain accounts for millions of annual vi...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/757410 |
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| author | Hari Vigneswaran Leslie Parikh Athena Poppas |
| author_facet | Hari Vigneswaran Leslie Parikh Athena Poppas |
| author_sort | Hari Vigneswaran |
| collection | DOAJ |
| description | Within internal medicine, cardiac and neurologic pathology comprises a vast majority of patient complaints. Physicians and advanced-care practitioners must be highly educated and comfortable in the evaluation, diagnosis, and management of these entities. Chest pain accounts for millions of annual visits to the emergency room with pericarditis diagnosed in approximately four percent of patients with nonischemic chest pain. Guillain-Barre Syndrome is autoimmune polyneuropathy that often results in transient paralysis. Simultaneous diagnosis of both entities is a rare but described phenomenon. Here, we present a clinical case of GBS associated pericarditis. A fifty-five-year-old man with history of renal transplant presented with lower extremity weakness and urinary incontinence. Physical exam and diagnostic studies confirmed Guillain-Barre Syndrome. Patient subsequently developed stabbing chest pain with clinical presentation and electrocardiogram consistent with pericarditis. The patient was successfully treated for both diseases. This case highlights that although infrequent, internal medicine care providers must be cognizant of this correlation to ensure timely diagnosis and treatment. |
| format | Article |
| id | doaj-art-d4b7072b035b4187a99d898ad86f2bde |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-d4b7072b035b4187a99d898ad86f2bde2025-02-03T01:31:39ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/757410757410Stabbing Yourself in the Heart: A Case of Autoimmunity Gone AwryHari Vigneswaran0Leslie Parikh1Athena Poppas2Warren Alpert Medical School of Brown University, 222 Richmond Street, Providence, RI 02903, USAWarren Alpert Medical School of Brown University, 222 Richmond Street, Providence, RI 02903, USAWarren Alpert Medical School of Brown University, 222 Richmond Street, Providence, RI 02903, USAWithin internal medicine, cardiac and neurologic pathology comprises a vast majority of patient complaints. Physicians and advanced-care practitioners must be highly educated and comfortable in the evaluation, diagnosis, and management of these entities. Chest pain accounts for millions of annual visits to the emergency room with pericarditis diagnosed in approximately four percent of patients with nonischemic chest pain. Guillain-Barre Syndrome is autoimmune polyneuropathy that often results in transient paralysis. Simultaneous diagnosis of both entities is a rare but described phenomenon. Here, we present a clinical case of GBS associated pericarditis. A fifty-five-year-old man with history of renal transplant presented with lower extremity weakness and urinary incontinence. Physical exam and diagnostic studies confirmed Guillain-Barre Syndrome. Patient subsequently developed stabbing chest pain with clinical presentation and electrocardiogram consistent with pericarditis. The patient was successfully treated for both diseases. This case highlights that although infrequent, internal medicine care providers must be cognizant of this correlation to ensure timely diagnosis and treatment.http://dx.doi.org/10.1155/2015/757410 |
| spellingShingle | Hari Vigneswaran Leslie Parikh Athena Poppas Stabbing Yourself in the Heart: A Case of Autoimmunity Gone Awry Case Reports in Medicine |
| title | Stabbing Yourself in the Heart: A Case of Autoimmunity Gone Awry |
| title_full | Stabbing Yourself in the Heart: A Case of Autoimmunity Gone Awry |
| title_fullStr | Stabbing Yourself in the Heart: A Case of Autoimmunity Gone Awry |
| title_full_unstemmed | Stabbing Yourself in the Heart: A Case of Autoimmunity Gone Awry |
| title_short | Stabbing Yourself in the Heart: A Case of Autoimmunity Gone Awry |
| title_sort | stabbing yourself in the heart a case of autoimmunity gone awry |
| url | http://dx.doi.org/10.1155/2015/757410 |
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