Case Report
A case of sinus bradycardia in a patient treated with pulse steroids for Adult-onset Still’s Disease
Abstract
Adult Onset Still’s Disease is a rare systemic inflammatory disease. The absence of a specific clinical presentation and diagnostic biomarkers causes delays in diagnosing and treating AOSD. Steroids used in treatment have many undesirable side effects. We presented a female case with AOSD who developed sudden bradycardia after pulse steroid therapy.
References
- Gerfaud-Valentin M, Jamilloux Y, Iwaz J, Sève P. Adult-onset Still’s disease. Autoimmun Rev. 2014 Jul;13(7):708-22. doi: 10.1016/j.autrev.2014.01.058.
- Kundu A, Fitzgibbons TP. Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report. J Med Case Rep. 2015 Sep 24;9:216. doi: 10.1186/ s13256-015-0701-x.
- Vasheghani-Farahani A, Sahraian MA, Darabi L, Aghsaie A, Minagar A. Incidence of various cardiac arrhythmias and conduction disturbances due to high dose intravenous methylprednisolone in patients with multiple sclerosis. J Neurol Sci. 2011 Oct 15;309(1-2):75-8. doi: 10.1016/j.jns.2011.07.018.
- Khandelwal K, Madathala RR, Chennaiahgari N, Yousuffuddin M. Steroid-induced sinus bradycardia. Cureus. 2021 May 16;13(5):e15065. doi: 10.7759/cureus.15065.
- Üsküdar Cansu D, Bodakçi E, Korkmaz C. Dose-dependent bradycardia as a rare side effect of corticosteroids: a case report and review of the literature. Rheumatol Int. 2018 Dec;38(12):2337- 2343. doi: 10.1007/s00296-018-4167-1.
- Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, Janecek E, Domecq C, Greenblatt DJ. A method for estimating the probability of adverse drug reactions. Clin Pharmacol Ther. 1981 Aug;30(2):239-45. doi: 10.1038/clpt.1981.154.
- Guillén EL, Ruíz AM, Bugallo JB. Hypotension, bradycardia, and asystole after high-dose intravenous methylprednisolone in a monitored patient. Am J Kidney Dis. 1998 Jul;32(2):E4. doi: 10.1053/ajkd.1998.v32.pm10074612.
Year 2022,
Volume: 4 - Supplement 1
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109
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112
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01.04.2022
Abstract
References
- Gerfaud-Valentin M, Jamilloux Y, Iwaz J, Sève P. Adult-onset Still’s disease. Autoimmun Rev. 2014 Jul;13(7):708-22. doi: 10.1016/j.autrev.2014.01.058.
- Kundu A, Fitzgibbons TP. Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report. J Med Case Rep. 2015 Sep 24;9:216. doi: 10.1186/ s13256-015-0701-x.
- Vasheghani-Farahani A, Sahraian MA, Darabi L, Aghsaie A, Minagar A. Incidence of various cardiac arrhythmias and conduction disturbances due to high dose intravenous methylprednisolone in patients with multiple sclerosis. J Neurol Sci. 2011 Oct 15;309(1-2):75-8. doi: 10.1016/j.jns.2011.07.018.
- Khandelwal K, Madathala RR, Chennaiahgari N, Yousuffuddin M. Steroid-induced sinus bradycardia. Cureus. 2021 May 16;13(5):e15065. doi: 10.7759/cureus.15065.
- Üsküdar Cansu D, Bodakçi E, Korkmaz C. Dose-dependent bradycardia as a rare side effect of corticosteroids: a case report and review of the literature. Rheumatol Int. 2018 Dec;38(12):2337- 2343. doi: 10.1007/s00296-018-4167-1.
- Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, Janecek E, Domecq C, Greenblatt DJ. A method for estimating the probability of adverse drug reactions. Clin Pharmacol Ther. 1981 Aug;30(2):239-45. doi: 10.1038/clpt.1981.154.
- Guillén EL, Ruíz AM, Bugallo JB. Hypotension, bradycardia, and asystole after high-dose intravenous methylprednisolone in a monitored patient. Am J Kidney Dis. 1998 Jul;32(2):E4. doi: 10.1053/ajkd.1998.v32.pm10074612.
There are 7 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Case Report |
| Authors | |
| Submission Date | February 14, 2022 |
| Acceptance Date | March 9, 2022 |
| Publication Date | April 1, 2022 |
| DOI | https://doi.org/10.46310/tjim.1072983 |
| IZ | https://izlik.org/JA55CL76MX |
| Published in Issue | Year 2022 Volume: 4 - Supplement 1 |
