Pericarditis classification: Difference between revisions
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==Overview== | ==Overview== | ||
Pericarditis may be classified according to the composition of the inflammatory exudate into 6 subtypes: [[serous]], [[purulent]], [[fibrinous]], [[caseous]], [[hemorrhagic]], and post-infarction or [[Dressler's syndrome]]. Pericarditis can also be classified into acute and chronic forms, depending on the timing of presentation and duration. | '''Pericarditis''' may be classified according to the composition of the inflammatory exudate into 6 subtypes: [[serous]], [[purulent]], [[fibrinous]], [[caseous]], [[hemorrhagic]], and post-infarction or [[Dressler's syndrome]]. Pericarditis can also be classified into acute and chronic forms, depending on the timing of presentation and duration. | ||
==Classification== | ==Classification== | ||
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{{familytree/start |summary=Sample 6}} | {{familytree/start |summary=Sample 6}} | ||
{{familytree | | | | | | | | | | | | | | | | | | | | A01 |A01=Pericarditis classification based on etiology}} | {{familytree | | | | | | | | | | | | | | | | | | | | A01 |A01='''Pericarditis classification based on etiology'''}} | ||
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{{familytree | | | | | | | | | | B01 | | | | | | | | | | | | | | | | | | | B02 | | |B01=Infectious causes|B02=Non-infectious causes}} | {{familytree | | | | | | | | | | B01 | | | | | | | | | | | | | | | | | | | B02 | | |B01='''Infectious causes'''|B02='''Non-infectious causes'''}} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | |!| }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | |!| }} | ||
{{familytree | | | | |,|-|-|-|v|-|^|-|v|-|-|-|.| | | |,|-|-|-|-|v|-|-|-|v|-|^|-|v|-|-|-|v|-|-|-|.| }} | {{familytree | | | | |,|-|-|-|v|-|^|-|v|-|-|-|.| | | |,|-|-|-|-|v|-|-|-|v|-|^|-|v|-|-|-|v|-|-|-|.| }} | ||
{{familytree | | | | |!| | | |!| | | |!| | | |!| | | |!| | | | |!| | | |!| | | |!| | | |!| | | |!| }} | {{familytree | | | | |!| | | |!| | | |!| | | |!| | | |!| | | | |!| | | |!| | | |!| | | |!| | | |!| }} | ||
{{familytree | | | | C01 | | C02 | | C03 | | C04 | | C05 | | | C06 | | C07 | | C08 | | C09 | | C10 |C01=Viral: | {{familytree | | | | C01 | | C02 | | C03 | | C04 | | C05 | | | C06 | | C07 | | C08 | | C09 | | C10 |C01='''Viral:''' | ||
Enteroviruses (coxsackieviruses, echoviruses) | *Enteroviruses(coxsackieviruses, echoviruses) | ||
Herpes viruses (EBV, CMV, HHV-6) | *Herpes viruses(EBV, CMV, HHV-6) | ||
Adenoviruses | *Adenoviruses | ||
Parvovirus B19|C02=Bacterial: | *Parvovirus B19|C02='''Bacterial:''' | ||
Mycobacterium tuberculosis | *Mycobacterium tuberculosis | ||
Coxiella burnetii | *Coxiella burnetii | ||
Borrelia burgdorferi|C03=Fungal: | *Borrelia burgdorferi|C03='''Fungal:''' | ||
Histoplasma species | *Histoplasma species | ||
Aspergillus species | *Aspergillus species | ||
Blastomyces species | *Blastomyces species | ||
Candida species|C04=Parasitic: | *Candida species|C04='''Parasitic:''' | ||
Echinococcus species | *Echinococcus species | ||
Toxoplasma species|C05=Autoimmune: | *Toxoplasma species|C05='''Autoimmune:''' | ||
Systemic autoimmune and auto-inflammatory diseases | *Systemic autoimmune and auto-inflammatory diseases | ||
Systemic vasculitides | *Systemic vasculitides | ||
Sarcoidosis | *Sarcoidosis | ||
Familial Mediterranean fever | *Familial Mediterranean fever | ||
IBD | *IBD | ||
Still disease|C06=Neoplastic: | *Still disease|C06='''Neoplastic:''' | ||
Primary tumours (pericardial mesothelioma) | *Primary tumours (pericardial mesothelioma) | ||
Secondary metastatic | *Secondary metastatic tumors( lung and breast cancer, lymphoma)|C07='''Metabolic:''' | ||
Uraemia | **Uraemia | ||
Myxoedema | **Myxoedema | ||
Anorexia nervosa|C08=Traumatic and Iatrogenic|C09=Drug-related|C10=Others: | **Anorexia nervosa|C08=Traumatic and Iatrogenic|C09=Drug-related|C10='''Others:''' | ||
Amyloidosis | **Amyloidosis | ||
Aortic dissection | **Aortic dissection | ||
Pulmonary arterial | **Pulmonary arterial | ||
Hypertension | **Hypertension | ||
Chronic heart failure | **Chronic heart failure | ||
Congenital absence of the pericardium}} | **Congenital absence of the pericardium}} | ||
{{familytree/end}} | {{familytree/end}} | ||
===Acute Versus Chronic Pericarditis=== | ===Acute Versus Chronic Pericarditis=== |
Revision as of 05:01, 4 December 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hardik Patel, M.D. Homa Najafi, M.D.[2]
Overview
Pericarditis may be classified according to the composition of the inflammatory exudate into 6 subtypes: serous, purulent, fibrinous, caseous, hemorrhagic, and post-infarction or Dressler's syndrome. Pericarditis can also be classified into acute and chronic forms, depending on the timing of presentation and duration.
Classification
Pericarditis can be classified according to the composition of the inflammatory exudate or the composition of the fluid that accumulates around the heart. Types include:
Pericarditis classification based on etiology | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Infectious causes | Non-infectious causes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Viral:
| Bacterial:
| Fungal:
| Parasitic:
| Autoimmune:
| Neoplastic:
| Metabolic:
| Traumatic and Iatrogenic | Drug-related | Others:
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Acute Versus Chronic Pericarditis
Depending on the timing of presentation and duration, pericarditis can be classified into "acute" and "chronic" forms. Clinically, acute pericarditis presents between 6 weeks to 6 months of the disease onset; subacute pericarditis presents within 6 weeks to 6 months of the disease onset, and chronic pericarditis manifests after 6 months of the disease onset. Acute pericarditis is more common than chronic pericarditis, and often occurs as a complication of viral infections, immunologic conditions, or as a result of a heart attack (myocardial infarction). Chronic pericarditis is less common. It may manifest as scarring of the pericardium, which is a condition known as constrictive pericarditis.