I've had pericarditis several times before my Lupus dx. I've never had a case of pleurisy that I know of but pericarditis is very painful, hurting the worst when you inhale. The pain is also centered in the heart area and can be easily mistaken for a heart attack. Since I had a heart attack before my first experience with pericarditis, I'm speaking from experience. The only difference in the dx was that morphine doesn't touch the pain from pericarditis but works well with a heart attack. An experienced doctor can hear the sac lining scratching against your heart or lungs with a stethoscope too. I was treated with Indocin (Indomethacin) and the pain was gone within 1-4 hours. That's just what happened to me, not advise. I believe steroids is the common treatment for both but at the time Lupus wasn't in my vocabulary. :lol: You can always ask your doctor about it if your curious.
I hope you feel better soon. :hug:
I hope you feel better soon. :hug: