Okada T, Shiokawa Y
Jpn Circ J. 1975 Apr;39(4):479-84. doi: 10.1253/jcj.39.479.
Clinical and pathological abnormalities of the heart that may have major functional significance in those conditions were studied in collagen disease (total 242 cases). 1. atypical verrucous endocarditis (Libmann-Sacks) were found in 2 cases with loupus erythematosus (25 cases) and in 1 case with scleroderma (3 cases). 2. Rheumatoid nodules were not seen in the heart of rheumatoid arthritis patients (9 cases). 3. The most frequent findings in the heart with collagen diseases were pericarditis, fibrous scarring of the heart muscle, focal inflammation and vasculitis is similar to periarteritis nodosa or endoarteritis obliterans. 4. Morphological changes of the A-V node were found in patients who had A-V dissociation or A-V block before death. Heart muscle infarctions were found in 2 cases.
对胶原病(共242例)中可能在这些病症中具有重大功能意义的心脏临床和病理异常进行了研究。1. 在2例红斑狼疮患者(共25例)和1例硬皮病患者(共3例)中发现了非典型疣状心内膜炎(Libmann-Sacks心内膜炎)。2. 在类风湿性关节炎患者(共9例)的心脏中未发现类风湿结节。3. 胶原病患者心脏中最常见的表现是心包炎、心肌纤维性瘢痕形成、局灶性炎症以及类似于结节性多动脉炎或闭塞性动脉内膜炎的血管炎。4. 在生前有房室分离或房室传导阻滞的患者中发现了房室结的形态学改变。发现2例心肌梗死。