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[Constrictive pericarditis and rheumatoid arthritis].

N Baubion, A Vacheron, A Heulin

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |September 1, 1979
    PubMed
    Summary

    Rheumatoid arthritis commonly affects the heart with pericarditis, which can lead to serious complications. Early detection through echocardiography is crucial for managing this condition in rheumatoid arthritis patients.

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    Area of Science:

    • Cardiology
    • Rheumatology
    • Internal Medicine

    Background:

    • Pericarditis is a frequent cardiac complication of rheumatoid arthritis.
    • It often presents asymptomatically but can progress to constrictive pericarditis or cardiac tamponade.

    Observation:

    • A 60-year-old woman with a 5-year history of seropositive nodular rheumatoid arthritis developed bilateral pleural effusions and constrictive pericarditis.
    • These symptoms emerged after abrupt cessation of corticosteroid therapy.

    Findings:

    • The patient underwent successful treatment with pericardectomy.
    • This case highlights that pericarditis is a significant, though not rare, complication in rheumatoid arthritis, with 55 cases previously reported.

    Implications:

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    • Systematic screening for pericarditis, particularly using echocardiography, is recommended for rheumatoid arthritis patients.
    • This approach can aid in early diagnosis and management of cardiac involvement in rheumatoid arthritis.