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Acute myocarditis and inflammatory bowel diseases: A case series of two patients

Journal

REVUE DE MEDECINE INTERNE
Volume 33, Issue 10, Pages 583-585

Publisher

ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
DOI: 10.1016/j.revmed.2012.07.015

Keywords

Myocarditis; Inflammatory bowel disease

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Introduction. - Acute myocarditis is one of the less common extra-intestinal manifestations of inflammatory bowel diseases (IBD). It may reveal IBD or occur during the follow-up. Case reports. - We report two patients who presented an acute myocarditis associated with ulcerative colitis that reveal the disease in one of them. Clinical features at presentation were non specific and both patients presented with chest pain. Diagnosis was obtained with cardiac MRI. Outcome was favourable in the two patients. Conclusion. - Etiologies of myocarditis are various and the diagnosis of extra-intestinal manifestations related to IBD remains a diagnosis of exclusion. Cardiac MRI is an important diagnostic tool. Colchicine and acetylsalicylic acid are commonly prescribed in a first therapeutic approach. (C) 2012 Published by Elsevier Masson SAS on behalf of the Societe nationale francaise de medecine interne (SNFMI).

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