{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:40:02Z","timestamp":1745757602007,"version":"3.40.4"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,9,5]]},"abstract":"<jats:p>In connective tissue disorders, the incidence of pericardial disease and pericardial effusion can be up to 58%, and if untreated, it can lead to cardiac tamponade which can be fatal. Physicians must have a high index of suspicion for this disease as diagnosis can be delayed while evaluating more common causes of tachycardia and hypotension in the immunosuppressed (ie, sepsis). We present a 55-year-old woman with a severe case of dermatomyositis, marked by significant weight loss, a bedridden state and hallmark cutaneous findings. On evaluation of interstitial lung disease, a pericardial effusion was incidentally noted. Serial examination revealed increasing fluid accumulation and progressive tachycardia, and diagnosis of cardiac tamponade was made on echocardiography. After initial pericardiocentesis, the effusion rapidly re-accumulated requiring a pericardial window. In severe presentations of rheumatic disease, cardiac tamponade should be considered as a cause of tachycardia, with or without associated hypotension.<\/jats:p>","DOI":"10.1136\/bcr-2016-216860","type":"journal-article","created":{"date-parts":[[2016,9,23]],"date-time":"2016-09-23T15:28:35Z","timestamp":1474644515000},"page":"bcr2016216860","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Cardiac tamponade as a manifestation of severe dermatomyositis"],"prefix":"10.1136","volume":"2016","author":[{"given":"Benjamin James","family":"Kurth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanya","family":"Wagler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Keith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,9,23]]},"reference":[{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.1","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.jaut.2013.11.005","article-title":"The clinical features, diagnosis and classification of dermatomyositis","volume":"48\u201349","author":"Iaccarino","year":"2014","journal-title":"J Autoimmun"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8635(02)00021-9"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.3","doi-asserted-by":"publisher","DOI":"10.1007\/s13317-014-0060-4"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.4","doi-asserted-by":"publisher","DOI":"10.1007\/s13317-011-0018-8"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.5","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.140566"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.6","doi-asserted-by":"publisher","DOI":"10.1378\/chest.116.6.1564"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.7","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv318"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.8","first-page":"149","article-title":"Cardiac tamponade and pericardial disorders in connective tissue diseases: case report and literature review","volume":"86","author":"Langley","year":"1994","journal-title":"J Natl Med Assoc"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.9","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(93)90720-T"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.10","first-page":"464","article-title":"Pericardial tamponade as the first manifestation of dermatopolymyositis","volume":"149","author":"Chraibi","year":"1998","journal-title":"Ann Med Interne"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.11","first-page":"135","article-title":"Predominance of CD4+ T cells and Th2 cytokines in the pericardial fluid of a dermatomyositis patient with cardiac tamponade","volume":"22","author":"Martinez","year":"2004","journal-title":"Clin Exp Rheumatol"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2013.06.023"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.13","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0000000000000062"},{"key":"2025042705221624000_2016.sep23_1.bcr2016216860.14","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0000000000000038"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216860","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:22:23Z","timestamp":1745756543000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,23]]},"references-count":14,"alternative-id":["10.1136\/bcr-2016-216860"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216860","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,9,23]]}}}