Document Detail


The association of pulmonary hypertension with rheumatoid arthritis.
MedLine Citation:
PMID:  2810287     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary hypertension due to vasculitis is a rare complication of rheumatoid arthritis (RA). We describe 2 patients with RA and pulmonary hypertension who died with a clinical diagnosis of idiopathic pulmonary hypertension. In each case postmortem examination revealed severe pulmonary vasculitis as the actual cause of the hypertension. Subclinical systemic vasculitis was found in one case and hepatic nodular regenerative hyperplasia in both cases. Pulmonary vasculitis must be included in the differential diagnosis of pulmonary hypertension associated with RA. Open lung biopsy should be considered in this clinical setting in an attempt to identify this potentially treatable cause of pulmonary hypertension.
Authors:
I D Young; S E Ford; P M Ford
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  16     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-12-07     Completed Date:  1989-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1266-9     Citation Subset:  IM    
Affiliation:
Department of Pathology, Kingston General Hospital, ON, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteritis / complications*,  diagnosis,  pathology
Arthritis, Rheumatoid / complications*
Female
Humans
Hypertension, Pulmonary / complications*,  etiology,  pathology
Male
Middle Aged
Pulmonary Artery / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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