Liver chemistry abnormalities and leg oedema in rheumatoid arthritis
| Autor: | Anho Liem, Eva M. van Soest, Jende van Zeben |
|---|---|
| Přispěvatelé: | Rheumatology |
| Rok vydání: | 2018 |
| Předmět: |
Male
Constrictive pericarditis Cardiac Catheterization medicine.medical_specialty Delayed Diagnosis medicine.medical_treatment 030204 cardiovascular system & hematology Gastroenterology Arthritis Rheumatoid Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Rare Disease Internal medicine Edema Ascites Humans Medicine Gamma-glutamyltransferase Pericardiectomy Aged Leg biology business.industry Pericarditis Constrictive gamma-Glutamyltransferase General Medicine Alkaline Phosphatase medicine.disease Elevated alkaline phosphatase Treatment Outcome 030228 respiratory system Rheumatoid arthritis biology.protein medicine.symptom business Rare disease |
| Zdroj: | BMJ Case Reports, 2018:bcr-2017-223206. BMJ Publishing Group |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2017-223206 |
| Popis: | A 66-year-old man with seronegative, erosive rheumatoid arthritis for 12 years presented with malaise, elevated alkaline phosphatase and gamma-glutamyl transferase, and leg oedema. He subsequently developed ascites. No liver pathology was found, but cardiac analysis including right heart catheterisation revealed constrictive pericarditis. Rheumatoid constrictive pericarditis is a rare condition, but, despite current effective treatment for rheumatoid arthritis, still occurs. Diagnostic delay is frequent. Although mortality of the intervention is high, pericardiectomy is needed for most patients. |
| Databáze: | OpenAIRE |
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