Rheumatoid Arthritis and Cardiac Compression Caused by a Large Fibrotic Intrapericardial Mass and Effusion: A Case Report
Identifieur interne : 000850 ( Ncbi/Curation ); précédent : 000849; suivant : 000851Rheumatoid Arthritis and Cardiac Compression Caused by a Large Fibrotic Intrapericardial Mass and Effusion: A Case Report
Auteurs : Kazue Okajima [États-Unis] ; Therese Posas-Mendoza [États-Unis] ; Diane D. Tran [États-Unis] ; Robert A. Hong [États-Unis]Source :
- The American Journal of Case Reports [ 1941-5923 ] ; 2019.
Abstract
Pericarditis is common in rheumatoid arthritis, mostly occurring as an extra-articular manifestation of the disease. We describe a patient with stable rheumatoid arthritis who presented with a large pericardial effusion and a compressive fibrotic pericardial mass. The patient had recently started treatment with a tumor necrosis factor-alpha (TNF-α) antagonist.
The patient was a 58-year-old woman with rheumatoid arthritis who presented with right ventricular compression caused by a pericardial fibrotic mass and a large pericardial effusion. The patient did not have active arthritis at the time of presentation. She had been started on treatment with a tumor necrosis factor-alpha (TNF-α) antagonist 4 months prior to this presentation. She was successfully treated with surgical pericardiectomy and resection of the pericardial mass. Pathologic analysis of the pericardial mass demonstrated fibrosis and no evidence of active inflammation, rheumatoid arthritis, opportunistic infection, or malignancy.
We describe a patient with stable rheumatoid arthritis who developed subacute right heart compression syndrome secondary to pericardial effusion and fibrous pericardial mass. The exact cause of pericarditis and the pericardial mass remain uncertain. There is a need for increased awareness of the association between use of TNF-α antagonists and the possible development of an intrapericardial fibrotic mass and effusion.
Url:
DOI: 10.12659/AJCR.916491
PubMed: 31353363
PubMed Central: 6683306
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000403
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :000403
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000417
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :000850
Links to Exploration step
PMC:6683306Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Rheumatoid Arthritis and Cardiac Compression Caused by a Large Fibrotic Intrapericardial Mass and Effusion: A Case Report</title>
<author><name sortKey="Okajima, Kazue" sort="Okajima, Kazue" uniqKey="Okajima K" first="Kazue" last="Okajima">Kazue Okajima</name>
<affiliation wicri:level="1"><nlm:aff id="af1-amjcaserep-20-1120">Department of Cardiology, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Cardiology, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Posas Mendoza, Therese" sort="Posas Mendoza, Therese" uniqKey="Posas Mendoza T" first="Therese" last="Posas-Mendoza">Therese Posas-Mendoza</name>
<affiliation wicri:level="1"><nlm:aff id="af2-amjcaserep-20-1120">Department of Internal Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Internal Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tran, Diane D" sort="Tran, Diane D" uniqKey="Tran D" first="Diane D." last="Tran">Diane D. Tran</name>
<affiliation wicri:level="1"><nlm:aff id="af3-amjcaserep-20-1120">Department of Cardiology, Queens Medical Center, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Cardiology, Queens Medical Center, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hong, Robert A" sort="Hong, Robert A" uniqKey="Hong R" first="Robert A." last="Hong">Robert A. Hong</name>
<affiliation wicri:level="1"><nlm:aff id="af3-amjcaserep-20-1120">Department of Cardiology, Queens Medical Center, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Cardiology, Queens Medical Center, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">31353363</idno>
<idno type="pmc">6683306</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6683306</idno>
<idno type="RBID">PMC:6683306</idno>
<idno type="doi">10.12659/AJCR.916491</idno>
<date when="2019">2019</date>
<idno type="wicri:Area/Pmc/Corpus">000403</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000403</idno>
<idno type="wicri:Area/Pmc/Curation">000403</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000403</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000417</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000417</idno>
<idno type="wicri:Area/Ncbi/Merge">000850</idno>
<idno type="wicri:Area/Ncbi/Curation">000850</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Rheumatoid Arthritis and Cardiac Compression Caused by a Large Fibrotic Intrapericardial Mass and Effusion: A Case Report</title>
<author><name sortKey="Okajima, Kazue" sort="Okajima, Kazue" uniqKey="Okajima K" first="Kazue" last="Okajima">Kazue Okajima</name>
<affiliation wicri:level="1"><nlm:aff id="af1-amjcaserep-20-1120">Department of Cardiology, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Cardiology, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Posas Mendoza, Therese" sort="Posas Mendoza, Therese" uniqKey="Posas Mendoza T" first="Therese" last="Posas-Mendoza">Therese Posas-Mendoza</name>
<affiliation wicri:level="1"><nlm:aff id="af2-amjcaserep-20-1120">Department of Internal Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Internal Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tran, Diane D" sort="Tran, Diane D" uniqKey="Tran D" first="Diane D." last="Tran">Diane D. Tran</name>
<affiliation wicri:level="1"><nlm:aff id="af3-amjcaserep-20-1120">Department of Cardiology, Queens Medical Center, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Cardiology, Queens Medical Center, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hong, Robert A" sort="Hong, Robert A" uniqKey="Hong R" first="Robert A." last="Hong">Robert A. Hong</name>
<affiliation wicri:level="1"><nlm:aff id="af3-amjcaserep-20-1120">Department of Cardiology, Queens Medical Center, Honolulu, HI, U.S.A.</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Cardiology, Queens Medical Center, Honolulu, HI</wicri:regionArea>
<wicri:noRegion>HI</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">The American Journal of Case Reports</title>
<idno type="eISSN">1941-5923</idno>
<imprint><date when="2019">2019</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><bold>Patient: Female, 58</bold>
</p>
<p><bold>Final Diagnosis: Pericardial effusion and mass</bold>
</p>
<p><bold>Symptoms: Fatigue • lower extremity edema • shortness of breath</bold>
</p>
<p><bold>Medication: —</bold>
</p>
<p><bold>Clinical Procedure: Pericardiocentesis</bold>
</p>
<p><bold>Specialty: Rheumatology</bold>
</p>
<sec><title>Objective:</title>
<p><bold>Unknown ethiology</bold>
</p>
</sec>
<sec><title>Background:</title>
<p>Pericarditis is common in rheumatoid arthritis, mostly occurring as an extra-articular manifestation of the disease. We describe a patient with stable rheumatoid arthritis who presented with a large pericardial effusion and a compressive fibrotic pericardial mass. The patient had recently started treatment with a tumor necrosis factor-alpha (TNF-α) antagonist.</p>
</sec>
<sec><title>Case Report:</title>
<p>The patient was a 58-year-old woman with rheumatoid arthritis who presented with right ventricular compression caused by a pericardial fibrotic mass and a large pericardial effusion. The patient did not have active arthritis at the time of presentation. She had been started on treatment with a tumor necrosis factor-alpha (TNF-α) antagonist 4 months prior to this presentation. She was successfully treated with surgical pericardiectomy and resection of the pericardial mass. Pathologic analysis of the pericardial mass demonstrated fibrosis and no evidence of active inflammation, rheumatoid arthritis, opportunistic infection, or malignancy.</p>
</sec>
<sec><title>Conclusions:</title>
<p>We describe a patient with stable rheumatoid arthritis who developed subacute right heart compression syndrome secondary to pericardial effusion and fibrous pericardial mass. The exact cause of pericarditis and the pericardial mass remain uncertain. There is a need for increased awareness of the association between use of TNF-α antagonists and the possible development of an intrapericardial fibrotic mass and effusion.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Voskuyl, Ae" uniqKey="Voskuyl A">AE Voskuyl</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Corrao, S" uniqKey="Corrao S">S Corrao</name>
</author>
<author><name sortKey="Messina, S" uniqKey="Messina S">S Messina</name>
</author>
<author><name sortKey="Pistone, G" uniqKey="Pistone G">G Pistone</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Al Ani, M" uniqKey="Al Ani M">M Al-Ani</name>
</author>
<author><name sortKey="Weber, M" uniqKey="Weber M">M Weber</name>
</author>
<author><name sortKey="Winchester, D" uniqKey="Winchester D">D Winchester</name>
</author>
<author><name sortKey="Kosboth, M" uniqKey="Kosboth M">M Kosboth</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bhat, P" uniqKey="Bhat P">P Bhat</name>
</author>
<author><name sortKey="Chandrasekaran, B" uniqKey="Chandrasekaran B">B Chandrasekaran</name>
</author>
<author><name sortKey="Barnes, E" uniqKey="Barnes E">E Barnes</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Rodriguez Monserrate, Cp" uniqKey="Rodriguez Monserrate C">CP Rodriguez Monserrate</name>
</author>
<author><name sortKey="Del Rio, Jr" uniqKey="Del Rio J">JR del Rio</name>
</author>
<author><name sortKey="Lopez Lopez, Y" uniqKey="Lopez Lopez Y">Y Lopez Lopez</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Soh, Mc" uniqKey="Soh M">MC Soh</name>
</author>
<author><name sortKey="Hart, Hh" uniqKey="Hart H">HH Hart</name>
</author>
<author><name sortKey="Corkill, M" uniqKey="Corkill M">M Corkill</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ozkan, H" uniqKey="Ozkan H">H Ozkan</name>
</author>
<author><name sortKey="Cetinkaya, As" uniqKey="Cetinkaya A">AS Cetinkaya</name>
</author>
<author><name sortKey="Yildiz, T" uniqKey="Yildiz T">T Yildiz</name>
</author>
<author><name sortKey="Bozat, T" uniqKey="Bozat T">T Bozat</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Edwards, Mh" uniqKey="Edwards M">MH Edwards</name>
</author>
<author><name sortKey="Leak, Am" uniqKey="Leak A">AM Leak</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lather, Hd" uniqKey="Lather H">HD Lather</name>
</author>
<author><name sortKey="Kahlenberg, Jm" uniqKey="Kahlenberg J">JM Kahlenberg</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Distler, Jh" uniqKey="Distler J">JH Distler</name>
</author>
<author><name sortKey="Schett, G" uniqKey="Schett G">G Schett</name>
</author>
<author><name sortKey="Gay, S" uniqKey="Gay S">S Gay</name>
</author>
<author><name sortKey="Distler, O" uniqKey="Distler O">O Distler</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Yoshikawa, Gt" uniqKey="Yoshikawa G">GT Yoshikawa</name>
</author>
<author><name sortKey="Dias, Ga" uniqKey="Dias G">GA Dias</name>
</author>
<author><name sortKey="Fujihara, S" uniqKey="Fujihara S">S Fujihara</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/ChloroquineV1/Data/Ncbi/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000850 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd -nk 000850 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= ChloroquineV1 |flux= Ncbi |étape= Curation |type= RBID |clé= PMC:6683306 |texte= Rheumatoid Arthritis and Cardiac Compression Caused by a Large Fibrotic Intrapericardial Mass and Effusion: A Case Report }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/RBID.i -Sk "pubmed:31353363" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd \ | NlmPubMed2Wicri -a ChloroquineV1
![]() | This area was generated with Dilib version V0.6.33. | ![]() |