TY - JOUR T1 - Primary pericardial mesothelioma and asbestos exposure: a rare fatal disease JF - BMJ Case Reports DO - 10.1136/bcr-2017-219949 VL - 2017 SP - bcr-2017-219949 AU - Diana Maria Monteiro Freitas AU - Raquel L Ramos AU - Luísa Serpa Pinto AU - Rosa Ribeiro Y1 - 2017/05/12 UR - http://casereports.bmj.com/content/2017/bcr-2017-219949.abstract N2 - A 73-year-old woman without a history of cardiovascular disease was admitted to the hospital with progressive dyspnoea on exertion during the past several weeks, bilateral lower extremity oedema, orthopnoea and paroxistic nocturnal dyspnoea. She lived a few metres away from a badly preserved building containing asbestos for 50 years. Estimated jugular venous pressure was 6+5 cm H2O, a pericardial friction rub was heard, bilateral basal lung crackles were present and symmetrical below-knee pitting oedema was seen. Probrain natriuretic peptide was 2304 pg/mL, and chest radiograph showed a globular cardiac silhouette and blunting … ER -