Cordioli E, Pizzi C, Tondini C, Venturi P, Borghi A, Puddu G M, Bugiardini R
Istituto di Patologia Speciale Medica, Università degli Studi di Bologna.
Minerva Med. 1994 Jul-Aug;85(7-8):395-401.
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.
作者报告了一例自1967年起患有血清阴性类风湿关节炎的67岁男性病例。在治疗中断后，类风湿关节炎加重期间出现了有症状的心包积液。组织学检查结果提示为类风湿起源。连续的心包穿刺术及同时进行的适当治疗缓解了心脏压塞，至少在短期随访期间如此。然而，需要进行长期观察以排除复发性积液或进展性缩窄性心包炎。
