Identification of a mobile intracardiac rheumatoid nodule mimicking an atrial myxoma

Webber, M. Diane; Selsky, Evan J.; Roper, P.

doi:10.1016/s0894-7317(05)80027-6

Cited by 12 publications

(11 citation statements)

References 4 publications

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“…Furthermore, infected nodules can contribute to abscess formation and perforation . Nodules in the left atrium can result in presentations similar to that of an atrial myxoma …”

Section: Discussionmentioning

confidence: 99%

Rheumatoid nodule on the anterior mitral valve leaflet

et al. 2018

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“…Furthermore, infected nodules can contribute to abscess formation and perforation . Nodules in the left atrium can result in presentations similar to that of an atrial myxoma …”

Section: Discussionmentioning

confidence: 99%

Rheumatoid nodule on the anterior mitral valve leaflet

et al. 2018

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“…There are no published series illustrating the clinical presentations of symptomatic cardiac rheumatoid nodules. Table 1 displays a literature search of the reported cases of macroscopic rheumatoid nodules leading to symptomatic disease and medical evaluation [ 6 – 12 ].…”

Section: Discussionmentioning

confidence: 99%

Large endocardial rheumatoid nodules: a case report and review of the literature

Vantrease

Trabue

Atkinson

et al. 2017

Journal of Community Hospital Internal Medicine Perspectives

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Rheumatoid nodules occur frequently in patients with rheumatoid arthritis and are the most common cutaneous manifestation of the disease. Although uncommon, rheumatoid nodules may also occur on cardiac valves, where they may be large and clinically significant. They may embolize and cause stroke. They may cause regurgitant murmurs, or they may result in valvular destruction. Echocardiographically, they may mimic an atrial myxoma or appear as a vegetation. We present a patient with seronegative rheumatoid arthritis who developed an acute embolic stroke; he had peripheral stigmata of infective endocarditis on physical examination and echocardiography revealed a mitral valve vegetation. We illustrate that these findings were due to a large, highly destructive mitral valve rheumatoid nodule. We review the literature on macroscopic endocardial nodules and emphasize their diverse clinical behavior.

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“…Interestingly a pedunculated, mobile left atrial rheumatoid nodule pro-lapsing through the mitral valve mimicking an atrial myxoma has been recorded sonographically. 24 Gouty tophi, unlike rheumatoid nodules, contain amorphous central echoes and tend to produce a mild or variable (but usually mild) degree of acoustic shadowing, which helps their differentiation that can occasionally be difficult using clinical features alone. 25 Tendons Tendons normally contain regularly aligned, tightly bound, echogenic collagen bundles.…”

Section: Rheumatoid Nodulesmentioning

confidence: 99%

Applications of Ultrasound in Arthritis

Gibbon

2004

Semin Musculoskelet Radiol

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The current article demonstrates some of the common sonographic features of the major arthritides. In rheumatoid arthritis, sonography shows the primary intra-articular location of the joint synovitis and bone erosion as well as any associated tenosynovitis. In early disease, this distribution can be distinguished from that of the spondyloarthropathies, in which the changes are typically centered on the entheses. These can be similarly differentiated from the chrystal arthropathies and osteoarthritis. In addition to its role in helping to make an accurate initial diagnosis, ultrasound is able to provide information as to disease activity and the efficacy of therapeutic agents.

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Identification of a mobile intracardiac rheumatoid nodule mimicking an atrial myxoma

Cited by 12 publications

References 4 publications

Rheumatoid nodule on the anterior mitral valve leaflet

Rheumatoid nodule on the anterior mitral valve leaflet

Large endocardial rheumatoid nodules: a case report and review of the literature

Applications of Ultrasound in Arthritis

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