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    Which of the following is NOT related to Dressler syndrome?
    Question

    Which of the following is NOT related to Dressler syndrome?

    A.

    Characterised by pericarditis with effusion and fever

    B.

    Fever develops 2 to 3 days after an MI

    C.

    Caused due to antigen-antibody reaction

    D.

    Corticosteroid therapy is used for treatment

    Correct option is B

    Dressler syndrome is a delayed post-myocardial infarction (MI) pericarditis, thought to be autoimmune in nature. It typically presents 2 to 3 weeks after an MI, not 2–3 days. Symptoms include fever, pleuritic chest pain, and pericardial effusion. It results from an immune-mediated response to necrotic myocardial tissue. Treatment includes NSAIDs and corticosteroids in severe cases.
    Explanation of options: (a) Characterised by pericarditis with effusion and fever – True. These are classic clinical features of Dressler syndrome. (b) Fever develops 2 to 3 days after an MI – This is the correct answer (NOT related). Pericarditis due to Dressler syndrome occurs later, usually after 1–3 weeks. (c) Caused due to antigen-antibody reaction – True. It is an autoimmune reaction triggered by myocardial injury. (d) Corticosteroid therapy is used for treatment – True. Corticosteroids are used when NSAIDs fail or in recurrent cases.

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