{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:50:25Z","timestamp":1789026625847,"version":"build-2803163510"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,7,21]]},"abstract":"<jats:p>Ankylosing spondylitis (AS) is a rheumatological disorder of the spine, and like many other rheumatological diseases, it can manifest as a systemic inflammation. We present a rare case of cardiac manifestations of AS in a 25-year-old man with recurrent chest pain and pericardial effusions. He initially presented with pleuritic chest pain, was diagnosed with cardiac tamponade and required emergent pericardiocentesis. The patient returned again with chest pain and was found to have reaccumulation of pericardial effusion. The cardiac symptoms were finally resolved when he was diagnosed and treated for AS.<\/jats:p>","DOI":"10.1136\/bcr-2017-224093","type":"journal-article","created":{"date-parts":[[2018,8,12]],"date-time":"2018-08-12T00:34:36Z","timestamp":1534034076000},"page":"bcr-2017-224093","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Cardiac tamponade in a patient with ankylosing spondylitis: a notable response to TNF inhibitors"],"prefix":"10.1136","volume":"2018","author":[{"given":"Clara","family":"Kwan","sequence":"first","affiliation":[{"name":"Cardiology, Maimonides Medical Center, Brooklyn, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linett","family":"Martirossian","sequence":"additional","affiliation":[{"name":"Medicine, Maimonides Medical Center, Brooklyn, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Scheers-Masters","sequence":"additional","affiliation":[{"name":"Rheumatology, Maimonides Medical Center, Brooklyn, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Hollander","sequence":"additional","affiliation":[{"name":"Cardiology, Maimonides Medical Center, Brooklyn, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,8,11]]},"reference":[{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.1","first-page":"1","article-title":"Cardiac manifestations of rheumatological conditions: a narrative review","volume":"2012","author":"Owlia","year":"2012","journal-title":"ISRN Rheumatol"},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.2","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.rmed.2006.04.028","article-title":"Isolated pleural and pericardial effusion in a patient with ankylosing spondylitis","volume":"101","author":"Erkan","year":"2007","journal-title":"Respir Med"},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.3","unstructured":"Adler Y , Charron P , Imazio M , et al . 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2015;29."},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.4","doi-asserted-by":"publisher","DOI":"10.1136\/ard.51.5.652"},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.5","doi-asserted-by":"crossref","first-page":"30","DOI":"10.4250\/jcu.2012.20.1.30","article-title":"Early cardiac valvular changes in ankylosing spondylitis: a transesophageal echocardiography study","volume":"20","author":"Park","year":"2012","journal-title":"J Cardiovasc Ultrasound"},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.6","first-page":"1","article-title":"Cocaine induced pleural and pericardial effusion syndrome","volume":"2015","author":"Alqalyoobi","year":"2015","journal-title":"Case Rep Pulmonol"},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.7","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1056\/NEJMicm1503339","article-title":"Images in clinical medicine. cocaine-induced coronary-artery vasospasm","volume":"374","author":"Almaddah","year":"2016","journal-title":"N Engl J Med"},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.8","doi-asserted-by":"crossref","first-page":"53","DOI":"10.7812\/TPP\/08-092","article-title":"A case of large pericardial and pleural effusions associated with pulmonary emboli in a user of crack cocaine","volume":"13","author":"Nguyen","year":"2009","journal-title":"Perm J"},{"key":"2025082706522226000_2018.aug11_1.bcr-2017-224093.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.07.785"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-224093","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:52:28Z","timestamp":1756302748000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-224093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,11]]},"references-count":9,"alternative-id":["10.1136\/bcr-2017-224093"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-224093","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,11]]}}}