{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T14:20:07Z","timestamp":1793542807045,"version":"4.5.0"},"reference-count":11,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,11,22]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>A 24-year-old man with previous matched unrelated donor allogenic bone marrow transplant for aplastic anaemia and chronic graft versus host disease on steroid taper presented with progressively worsening anasarca. CT revealed large pericardial effusion, while echocardiogram was concerning for early tamponade physiology. He underwent emergent pericardiocentesis with pericardial drain placement. Extensive rheumatological and infectious work-up was unrevealing with patient\u2019s presentation attributed to pericardial graft versus host disease. This highlights the need of physicians to be aware of pericardial serositis as a complication of graft versus host disease due to its life-threatening complications, which require immediate intervention.<\/jats:p>","DOI":"10.1136\/bcr-2018-227507","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e227507","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pericardial effusion as a complication of chronic graft versus host disease"],"prefix":"10.1136","volume":"11","author":[{"given":"Keaton","family":"Nasser","sequence":"first","affiliation":[{"name":"Internal Medicine, Banner University Medical Center, Tucson, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kshipra","family":"Joshi","sequence":"additional","affiliation":[{"name":"Internal Medicine, Banner University Medical Center, Tucson, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella","family":"Starobinska","sequence":"additional","affiliation":[{"name":"Internal Medicine, Banner University Medical Center, Tucson, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,12,14]]},"reference":[{"key":"2025082709260609000_11.1.e227507.1","doi-asserted-by":"crossref","first-page":"1953","DOI":"10.1007\/s00277-012-1541-z","article-title":"Large pericardial effusion as a life-threatening complication after hematopoietic stem cell transplantation-association with chronic GVHD in late-onset adult patients","volume":"91","author":"Liu","year":"2012","journal-title":"Ann Hematol"},{"key":"2025082709260609000_11.1.e227507.2","first-page":"515","article-title":"Pericardial Effusion","volume":"35","author":"Azarbal","year":"2017","journal-title":"Cardiol Clin"},{"key":"2025082709260609000_11.1.e227507.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbmt.2005.09.004"},{"key":"2025082709260609000_11.1.e227507.4","doi-asserted-by":"publisher","DOI":"10.1016\/0033-0620(79)90017-3"},{"key":"2025082709260609000_11.1.e227507.5","unstructured":"Willner DA , Bhimji SS . 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