Dergiler / Türkiye Tıp Dergisi Dahili Tıp Bilimleri / 1999 / Cilt: 6 - Sayı: 5
Mitral and aortic insufficiency in polyarticular seronegative juvenile rheumatoid arthritis: A case report
- Sayfa
- 273–275
- DOI
- —
Özet
Poliartikiiler Seronegatif Juvenil Romatoid Artritle Mitral ve Aort Yetmezligi: Bir Olgu Sunumu Juvenil romatoid artrit (JRAJ'te kalp kapakgik tutulumu nadir bir komplikasyondur.'Sistemik baslangigh ve se-ropozitiflik gosteren hastalarda en sik olarak aort kapagi tutulur ve kapak replasmamna kadar gidebilir. Miu ral kapak tutulumlu bir kag hasta yaytnlanmtstir ve hepsine deperikardit e§lik etmektedir. Biz, dokuzyasinda perikarditi olmayan, seronegatif, poliartikiiler tip JRA 'h bir erkek hasta sunuyoruz. Kalp tutulumu hastahk siddeti ve tipinden bagimsiz olarak herhangi bir zamanda gelisebildiginden, bastalann kalp muayeneleri du-zenli arahklarla yapilmahdir.
Abstract
Valvular heart disease as cardiac involvement in juvenile rheumatoid arthritis (JRA) s a rare complication. The aortic valve is most commonly affected in patients with systemic onset or in the presence of seropositivity which can lead to aortic valve replacement further. There are only a few cases reported with mitral involve¬ment always associated with pericarditis.' We report a 9-year-old boy with both mitral and aortic insufficiency without pericarditis attributable to seronegative polyarticular onset URA. As cardiac involvement can occur at any time regardless of the severity and the type of the disease, regular cardiac examination should be per¬formed to patients with JRA.