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A case of sinus bradycardia in a patient treated with pulse steroids for Adult-onset Still’s Disease

Year 2022, , 109 - 112, 01.04.2022
https://doi.org/10.46310/tjim.1072983

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, , 109 - 112, 01.04.2022
https://doi.org/10.46310/tjim.1072983

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 Reports
Authors

Selin İldemir 0000-0002-6461-2220

Beyza Nur Ercan 0000-0002-5721-7214

Ali Ekin 0000-0003-3692-1293

Belkıs Nihan Coşkun 0000-0003-0298-4157

Yavuz Pehlivan 0000-0002-7054-5351

Hüseyin Ediz Dalkılıç 0000-0001-8645-2670

Publication Date April 1, 2022
Submission Date February 14, 2022
Acceptance Date March 9, 2022
Published in Issue Year 2022

Cite

EndNote İldemir S, Ercan BN, Ekin A, Coşkun BN, Pehlivan Y, Dalkılıç HE (April 1, 2022) A case of sinus bradycardia in a patient treated with pulse steroids for Adult-onset Still’s Disease. Turkish Journal of Internal Medicine 4 109–112.

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