Rheumatoid pancarditis in a patient with well controlled rheumatoid arthritis.
Significant rheumatoid cardiac disease usually occurs in the presence of active extraarticular disease, high titer rheumatoid factor, and systemic vasculitis. We report a patient who died of severe, widespread intracardiac rheumatoid disease, with none of these hallmarks present. The inflammatory infiltrate was centered on the collagenous skeleton of the heart; such a predilection has not been previously reported.
Sigal
L H
LH
Medical Service, Veterans' Administration Medical Center, Syracuse, NY.
Friedman
H D
HD
D001167:Arteritis / Q000150:complications* / Q000473:pathology; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D006327:Heart Block / Q000209:etiology; D006329:Heart Conduction System / Q000473:pathology; D006349:Heart Valve Diseases / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D009205:Myocarditis / Q000150:complications* / Q000473:pathology; D010493:Pericarditis / Q000150:complications* / Q000473:pathology; D012218:Rheumatoid Nodule / Q000150:complications* / Q000473:pathology
D008727:Methotrexate