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. 2017 Jun 12;4:78. doi: 10.3389/fmed.2017.00078

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Copyright © 2017 Lazaros, Antonatou and Vassilopoulos.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Subxiphoid echocardiographic view of a patient with colchicine-resistant steroid dependent idiopathic recurrent pericarditis. Panel (A) depicts pericardial effusion mainly in the anterior pericardial space with thick adhesions between visceral and parietal pericardium, which developed during the steroid tapering process. Panel (B) reveals absence of effusion in the same patient 1 month after switching from steroids to anakinra therapy (100 mg subcutaneously daily). PE, pericardial effusion; LA, left atrium; RA, right atrium; LV, left ventricle; RV, right ventricle.