Cardiac Tamponade, Constrictive Pericarditis and Pericardial Resection in Rheumatoid Arthritis

Thadani, Udho; Iveson, J M; Wright, V.

doi:10.1097/00005792-197505000-00006

Cited by 60 publications

(14 citation statements)

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“…Rheumatoid arthritis has multiple well-recognized extraarticular mahifestations, including cardiac involvement (15)(16)(17)(18)(19). Cardiac disease in RA can present as asymptomatic pericardial disease, valvular lesions, myocardial granulomata, and occasionally, symptomatic pericardial disease.…”

Section: Discussionmentioning

confidence: 99%

Production of immunoglobulin and rheumatoid factor by lymphoid cells in rheumatoid pericardium

Spalding

Haber

Schrohenloher

et al. 1985

Arthritis & Rheumatism

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Section: Discussionmentioning

confidence: 99%

Production of immunoglobulin and rheumatoid factor by lymphoid cells in rheumatoid pericardium

Spalding

Haber

Schrohenloher

et al. 1985

Arthritis & Rheumatism

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“…Immune complex de position as a cause of pericarditis has been suggested in multiple sclerosis [33]. The high frequency of serositis in periarteritis nodosa [34], mixed connective tissue disease [35] and rheumatoid arthritis [36] indicates an additional link between immune complexes and serosal inflammation. We have found immune complex-like material in serosal exudates in our patients.…”

Section: Discussionmentioning

confidence: 99%

Circulating Immune Complexes: Possible Toxins Responsible for Serositis (Pericarditis, Pleuritis, and Peritonitis) in Renal Failure

Twardowski¹,

Alpert²,

Gupta³

et al. 1983

Nephron

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In 71 patients (41 men, 30 women) with advanced renal failure maintained on hemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD), or within 8 weeks after the commencement of dialysis therapy (ED), studies were performed searching for evidence of serositis and the blood levels of circulating immune complexes (CIC), measured by the polyethylene glycol precipitation method. Mean CIC levels were elevated in these patients compared to the 58 healthy subjects (mean ± SEM 725 ± 40, and 260 ± 34 µg/ml, respectively). Serositides were significantly more prevalent in ED patients compared to both remaining groups, and tended to occur less frequently in CAPD than in HD patients. CIC levels were significantly lower in CAPD than in ED patients. The levels of CIC were significantly higher in patients with serositis compared to those without evidence of serosal inflammation (mean ± SEM 868 ± 71 and 677 ± 53 µg/ml, respectively). In addition, immune complex-like materials were found in all of 4 effusate samples and in 10 of 27 peritoneal dialysates. It is suggested that immune complexes may be the ‘uremic toxins’ responsible for the serositis of renal failure, and may be secreted into serous effusions. Immune complex-like material can be removed in peritoneal dialysate, which may contribute to the lower CIC levels and lower incidence of serositis in the CAPD patients.

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“…Thadani et al (1975)recommended pericardial resection because of the risk of fluid being thick and loculated; making it difficult to remove. We believe that this obstacle could, at least in most patients, be overcome by insertion of a catheter into the pericardial cavity.…”

Section: Discussionmentioning

confidence: 99%

Juvenile rheumatoid arthritis with cardiac tamponade.

Majeed¹,

Kvasnička²

1978

Annals of the Rheumatic Diseases

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Cardiac Tamponade, Constrictive Pericarditis and Pericardial Resection in Rheumatoid Arthritis

Cited by 60 publications

References 0 publications

Production of immunoglobulin and rheumatoid factor by lymphoid cells in rheumatoid pericardium

Production of immunoglobulin and rheumatoid factor by lymphoid cells in rheumatoid pericardium

Circulating Immune Complexes: Possible Toxins Responsible for Serositis (Pericarditis, Pleuritis, and Peritonitis) in Renal Failure

Juvenile rheumatoid arthritis with cardiac tamponade.

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