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Case Reports in Medicine
Volume 2013 (2013), Article ID 439505, 2 pages
http://dx.doi.org/10.1155/2013/439505
Case Report

A Rare Case of Effusive Constrictive Cholesterol Pericarditis: A Case Report and Review

1Cardiology Service, San Antonio Military Medical Center, Fort Sam Houston, San Antonio, TX 78234, USA
2Internal Medicine Service, San Antonio Military Medical Center, Fort Sam Houston, San Antonio, TX 78234, USA

Received 2 January 2013; Revised 1 March 2013; Accepted 7 March 2013

Academic Editor: Martin G. Mack

Copyright © 2013 Van W. Adamson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Effusive constrictive cholesterol pericarditis is exceedingly rare. Most cases have an unclear etiology but can be associated with rheumatoid arthritis, tuberculosis infection, and hypothyroidism. The hallmark of the effusion is the distinctively high levels of cholesterol. We present the case of a 68-year-old male with prolonged symptoms of dyspnea with associated moderate pericardial effusion that were later determined to be constrictive effusive etiology, and the patient was referred for stripping with pathologic cholesterol crystal formation on pathology review.