Q: Why steroids are not favored as treatment choice in acute pericarditis?

Answer: They increase the chance of recurrent pericarditis.

References:

1. Imazio M, Spodick DH, Brucato A, Trinchero R, Adler Y. Controversial issues in the management of pericardial diseases. Circulation. 2010;121:916–928.

2. Farand P, Belley-Côté ÉP. Give a bigger place for colchicine and a smaller place for corticosteroids in the algorithm for the treatment of acute and recurring pericarditis. MedActuel. 2010;10:1–5.