[Cardiac tamponade and rheumatoid arthritis: medical approach or pericardiectomy?].
The authors report the case of a sixty-seven-year-old man with seronegative rheumatoid arthritis since 1967. After the treatment was discontinued, a symptomatic pericardial effusion developed during an exacerbation of rheumatoid arthritis. Histological findings suggested a rheumatoid origin. Consecutive pericardiocentesis and a concomitant adequate treatment resolved cardiac tamponade, at least during short-term follow-up. However, a long term observation will be necessary to exclude recurrent effusion or evolutive constrictive pericarditis.
Cordioli
E
E
Istituto di Patologia Speciale Medica, Università degli Studi di Bologna.
Pizzi
C
C
Tondini
C
C
Venturi
P
P
Borghi
A
A
Puddu
G M
GM
Bugiardini
R
R
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications*; D002305:Cardiac Tamponade / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology*; D010492:Pericardiectomy
Tamponamento cardiaco e artrite reumatoide: approccio medico o pericardiectomia?