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© 1990 British Society for Rheumatology

case-report

PERICARDIAL TAMPONADE AND LIMITED CUTANEOUS SYSTEMIC SCLEROSIS (CREST SYNDROME)

M. A. SATTAR1, R. T. GUINDI and J. VAJCIK

Department of Medicine, Faculty of Medicine, Kuwait University P.O. Box 24923 Safat, 13110 Safat, Kuwait (Arabian Gulf)

Correspondence to: 1Correspondence to Dr M. Sattar.

A patient with limited cutaneous systemic sclerosis (ISSc) is described who presented with acute chest pain, dyspnoea and signs of cardiac tamponade requiring pericardiocentesis although the quantity of effusion was moderate. The haemodynamic data recorded from this patient suggested that pericardial fibrosis may be a major contributing predisposing factor to pericardial tamponade, while the cause of pericarditis and effusion remain obscure.

KEY WORDS: Scleroderma, Pericardial effusion, Cardiac tamponade


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