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© 1974 British Society for Rheumatology

research-article

A CASE OF RHEUMATOID ARTHRITIS AND HAEMOPERICARDIUM*

PETER THOMAS{dagger} and JOHN HARSE{ddagger}

University Hospital of Wales Cardiff

A case of fatal haemopericardium complicating rheumatoid arthritis is described. The pericarditis was thought to be due to rheumatoid disease in the absence of any other demonstrable cause. The extreme rarity of this condition is noted and the need for immediate surgical intervention urged. That steroids do not benefit this condition is borne out by this and previous reports.

THIS article describes the occurrence of pericarditis and haemopericardium in a patient who had rheumatoid arthritis. Pericarditis is a fairly common complication of rheumatoid arthritis, having been found in 11–50% of autopsies, although the clinical diagnosis is not often made. Pericardial effusions and tamponade are extremely rare and there is a poor prognosis unless immediate surgical intervention is instituted.

*Paper read at a combined meeting of the British Association for Rheumatology and Rehabilitation with the Royal Society of Medicine, Section of Rheumatology and Rehabilitation, Cardiff, September 1973.

{dagger}Medical Registrar.

{ddagger}Assistant Lecturer in Pathology.


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