Atlas of Rheumatology by Eric L. Matteson (auth.), Gene G. Hunder MD (eds.)

By Eric L. Matteson (auth.), Gene G. Hunder MD (eds.)

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I: Atlas FIGURE 1-93. Rheumatoid vasculitis. Systemic vasculitis in rheumatoid arthritis involves small and medium-size arteries, including the coronary arteries. It is uncommon, usually occurring in patients who have had their disease for 10 years or more. In this photomicrograph, necrotizing arteritis with adventitial inflammation and medial destruction is seen. These changes are indistinguishable from those of polyarteritis nodosa. 26 FIGURE 1·94. Rheumatoid vasculopathy. Rheumatoid vasculopathy is a rather unusual manifestation of small vessel arteritis.

30. : Juvenile rhematoid arthritis in Rochester, Minnesota. Is the epidemiology changing? Arthritis Rheum 1996, 39:1385-1390. 31. Netter FH: Rheumatic diseases. In The Cibe Collection of Medical fl/ustrations, vol 8, part II. Summit, NJ: Ciba Giegy, 1990, 176. 32. ACR Clinical Guidelines Committee: Guidelines for monitoring drug therapy in rheumatoid arthritis. Arthritis Rheum 1996, 39:723-73l. 33. Felty AR: Chronic arthritis in the adult, associated with splenomegaly and leucopenia. Johns Hopkins Hosp Bull 1924, 35:16-20.

FIGURE 1-90. Pericarditis in rheumatoid arthritis. Pericarditis typically occurs in seropositive patients with nodular disease, and is the most common cardiac manifestation of rheumatoid arthritis. It is usually asymptomatic, but can lead to pericardial effusion and fibrosis with cardiac tamponade. This magnetic resonance image demonstrates constrictive peric"rditis. The white structure around the pericardium is the pericardial fat, the gray is the pericatdial wall. The dense white infiltrate between the pericardium and gray myocardium is pericardial fluid.

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