心脏类风湿结节。
Cardiac rheumatoid nodules.
作者信息
Ojeda V J, Stuckey B G, Owen E T, Walters M N
出版信息
Med J Aust. 1986 Jan 20;144(2):92-3. doi: 10.5694/j.1326-5377.1986.tb113669.x.
Rheumatoid nodules in the heart are unusual specific manifestations of rheumatoid arthritis. This paper describes three cases in which these nodules were found at necropsy. The patients were women with long histories of rheumatoid arthritis, two of whom had significant but unexplained congestive cardiac failure. The rheumatoid nodules were present in the patients' myocardium and in one patient's pericardium. We suggest that in patients with rheumatoid arthritis with severe but unexplained cardiac failure, the possibility of rheumatoid nodules in the heart should be considered.
心脏类风湿结节是类风湿关节炎罕见的特异性表现。本文描述了3例尸检时发现这些结节的病例。患者均为患有类风湿关节炎多年的女性，其中2例有严重但原因不明的充血性心力衰竭。类风湿结节出现在患者的心肌中，1例患者的心包中也有。我们建议，对于患有类风湿关节炎且伴有严重但原因不明的心力衰竭患者，应考虑心脏存在类风湿结节的可能性。
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