Mitral and aortic insufficiency in polyarticular juvenile rheumatoid arthritis.
Valvar heart disease is a rare complication of juvenile rheumatoid arthritis (JRA), the aortic valve being most commonly affected. Reported cases with symptomatic mitral involvement are rare. We describe a 13-year-old boy with seronegative, polyarticular onset of JRA in whom mitral and aortic valve insufficiency was diagnosed by clinical and laboratory investigations. Two-dimensional and continuous-wave Doppler echocardiography confirmed mild pericardial effusion with moderate mitral and mild aortic insufficiency. Cardiac assessment and echocardiographic follow-up are recommended in all patients with JRA.
Ozer
S
S
Department of Pediatric Cardiology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Alehan
D
D
Ozme
S
S
Bakkaloğlu
A
A
Söylemezoğlu
O
O
D000293:Adolescent; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology*; D001171:Arthritis, Juvenile / Q000150:complications* / Q000175:diagnosis; D004452:Echocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology*; D010490:Pericardial Effusion / Q000209:etiology; D012698:Serologic Tests