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http://dx.doi.org/10.4070/kcj.2016.46.3.425

Non-Bacterial Thrombotic Endocarditis in a Patient with Rheumatoid Arthritis  

Choi, Jung-Hye (Department of Rheumatology, Yonsei University Wonju College of Medicine)
Park, Jeong-Eun (Department of Rheumatology, Yonsei University Wonju College of Medicine)
Kim, Jang-Young (Department of Cardiology, Yonsei University Wonju College of Medicine)
Kang, Taeyoung (Department of Rheumatology, Yonsei University Wonju College of Medicine)
Publication Information
Korean Circulation Journal / v.46, no.3, 2016 , pp. 425-428 More about this Journal
Abstract
Rheumatoid arthritis (RA) is frequently associated with various extra-joint complications. Although rare, thromboembolic complications are associated with high morbidity and mortality. We experienced a very rare case of nonbacterial thrombotic endocarditis (NBTE) and subsequent embolic stroke in a patient with RA. A 72-year-old male with a 15-year history of RA suddenly developed neurologic symptoms of vomiting and dizziness. Brain magnetic resonance imaging revealed recently developed multiple cerebellar and cerebral lacunar infarctions. Echocardiography showed a pulsating mitral valve vegetation involving the posterior cusp of the mitral valve leaflet, which was confirmed as NBTE. Immediate anti-coagulation therapy was started. The NBTE lesion disappeared in follow-up echocardiography after 4 weeks of anti-coagulation treatment.
Keywords
Endocarditis, non-infective; Arthritis, rheumatoid; Mitral valve;
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