Non-arthritic rheumatoid valvulitis with coronary arteritis causing myocardial infarction.
Rheumatoid valvulitis occurring in an individual without arthritis has rarely been reported. A 62-year-old woman died after repeated myocardial infarction, with no articular symptoms but with a fever of unknown origin and a positive rheumatoid factor. Autopsy examination revealed granulomatous inflammatory lesions with rheumatoid nodules present in the aortic valve and the base of the left coronary artery. Wide-spread myocardial infarction was found in the septal and anterolateral walls of the left ventricle.
Fujita
M
M
Department of Pathology, Hokkaido University School of Medicine, Sapporo, Japan.
Abe
M
M
Itoh
T
T
Saitoh
K
K
Noguchi
M
M
Sano
K
K
Fujioka
Y
Y
Nagashima
K
K
D000368:Aged; D001021:Aortic Valve; D001167:Arteritis / Q000150:complications*; D003327:Coronary Disease / Q000150:complications*; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D012216:Rheumatic Diseases / Q000150:complications*