Fatal outcome of constrictive pericarditis in rheumatoid arthritis

被引:4
作者
Härle, P [1 ]
Salzberger, B [1 ]
Glück, T [1 ]
Schölmerich, J [1 ]
Müller-Ladner, U [1 ]
机构
[1] Univ Regensburg, Dept Internal Med 1, D-93042 Regensburg, Germany
关键词
rheumatoid arthritis; constrictive pericarditis; extra-articular disease;
D O I
10.1007/s00296-003-0300-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This is a report of a 39-year-old patient diagnosed with seropositive rheumatoid arthritis at the age of 17. The patient died 2 years after the onset of extra-articular cardiac symptoms. This case demonstrates the devastating course of progressive constrictive pericarditis under sole medical therapy and emphasizes the importance of early radical pericardectomy to avoid progression of disease and secondary complications with fatal outcome. Further, we discuss risk factors, diagnostic caveats, diagnostic tests and therapy of hemodynamically relevant contrictive pericarditis.
引用
收藏
页码:312 / 314
页数:3
相关论文
共 13 条
[1]   CONSTRICTIVE PERICARDITIS IN A PATIENT WITH SEVERE SERONEGATIVE RHEUMATOID-ARTHRITIS [J].
BOLOGNA, C ;
POIRIER, JL ;
HERISSON, C ;
SIMON, L .
REVUE DE MEDECINE INTERNE, 1992, 13 (01) :64-68
[2]  
BURNEY DP, 1979, J THORAC CARDIOV SUR, V77, P511
[3]   Constrictive pericarditis [J].
Correa, SD ;
Amsterdam, EA .
CIRCULATION, 1998, 97 (08) :806-806
[4]   OPERATION FOR CHRONIC CONSTRICTIVE PERICARDITIS - DO THE SURGICAL APPROACH AND DEGREE OF PERICARDIAL RESECTION INFLUENCE THE OUTCOME SIGNIFICANTLY [J].
CULLIFORD, AT ;
LIPTON, M ;
SPENCER, FC .
ANNALS OF THORACIC SURGERY, 1980, 29 (02) :146-152
[5]   CARDIAC COMPRESSION IN RHEUMATOID PERICARDITIS [J].
ESCALANTE, A ;
KAUFMAN, RL ;
QUISMORIO, FP ;
BEARDMORE, TD .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 1990, 20 (03) :148-163
[6]  
GRIVAUX M, 1979, ANN MED INTERNE, V130, P247
[7]   RHEUMATOID-ARTHRITIS AS A CAUSE OF CARDIAC COMPRESSION - FAVORABLE LONG-TERM OUTCOME OF PERICARDIECTOMY [J].
HAKALA, M ;
PETTERSSON, T ;
TARKKA, M ;
LEIRISALOREPO, M ;
MATTILA, T ;
AIRAKSINEN, J ;
SUTINEN, S .
CLINICAL RHEUMATOLOGY, 1993, 12 (02) :199-203
[8]   RHEUMATOID PERICARDITIS - CLINICAL-FEATURES AND SURVIVAL [J].
HARA, KS ;
BALLARD, DJ ;
ILSTRUP, DM ;
CONNOLLY, DC ;
VOLLERTSEN, RS .
MEDICINE, 1990, 69 (02) :81-91
[9]   PERICARDIAL DISEASE IN RHEUMATOID-ARTHRITIS [J].
JOHN, JT ;
HOUGH, A ;
SERGENT, JS .
AMERICAN JOURNAL OF MEDICINE, 1979, 66 (03) :385-390
[10]  
Ling LH, 2000, ANN INTERN MED, V132, P444, DOI 10.7326/0003-4819-132-6-200003210-00004