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Nature Clinical Practice Cardiovascular Medicine (2008) 5, 118-119
doi:10.1038/ncpcardio1094  
Received 30 September 2007 | Accepted 19 November 2007 | Published online: 15 January 2008

Corticosteroid therapy for pericarditis: a double-edged sword

Massimo Imazio, Antonio Brucato, Rita Trinchero, Ralph Shabetai, David Spodick and Yehuda Adler*

Correspondence *Cardiac Rehabilitation Institute, Sheba Medical Center and Sackler University, Tel-Hashomer, Israel

Email
 adlery@post.tau.ac.il

The management of patients with corticosteroid-dependent recurrent pericarditis is problematic. In this opinion piece, Imazio et al. assert that corticosteroids are over-prescribed, particularly in cases where the disease etiology is unknown. The authors discuss the weak evidence-base for the use of corticosteroids in pericarditis, and propose a treatment strategy for the minority of cases where these agents are indicated.

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