Letter to the Editor Regional Pericarditis or an Alternate Diagnosis?

Copyright © 2014 Lovely Chhabra et al.This is an open access article distributed under the Creative CommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We read the paper by Alhammouri and Omar published in a recent issue of the Case Reports in Medicine [1]. The authors have described a case of what appeared to be a case of localized pericarditis; however, we wonder if alternate diagnosis was considered in the differential diagnosis. The initial ECG illustration shows ST-elevation localized to the inferior leads with reciprocal ST-depressions in V1–V3 which is usually quite unusual for acute pericarditis [2]. Spodick’s sign has traditionally been defined in prior investigations by the senior author as an electrocardiographic clue to help differentiating between acute pericarditis and acute myocardial infarction; however, to best of our knowledge, this is usually valid in absence of reciprocal ST-depressions [2–6]