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With Subsequent Clinical Rheumatoid Arthritis

LAURENCE A. GROSSMAN, M.D.; HERMAN J. KAPLAN, M.D.; FRED D. OWNBY, M.D.; MILTON GROSSMAN, M.D.

Arch Intern Med. 1962;109(6):665-672.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Rheumatoid arthritis is a generalized disease which, in addition to joint involvement, is accompanied by changes in many organs and tissues. The occurrence of cardiac lesions in rheumatoid arthritis is well known. Still,¹ in 1897, studying chronic joint disease in children, which was apparently a juvenile type of rheumatoid arthritis, noted an adherent pericardium during post-mortem examination in 3 of 12 cases. There are references^2,3 in the early medical literature to chest complications found in chronic rheumatism. Baggenstoss and Rosenberg⁴ found that 16 of 30 patients with rheumatoid arthritis examined at autopsy had rheumatic changes in their hearts. In 6 patients nonrheumatic lesions of minor severity were noted. These included nonspecific pericarditis and chronic obliterative pericardial adhesions. Sokoloff et al.⁵ noted fibrous pericardial obliteration to be present in 25% of patients with rheumatoid arthritis who were examined post mortem. The occurrence of pleural effusion and pericarditis . . . [Full Text PDF of this Article]

Author Affiliations
NASHVILLE, TENN.

Department of Medicine, Vanderbilt University School of Medicine.; Associate Clinical Professor in Medicine (Dr. L. Grossman); Clinical Instructor in Medicine (Dr. Kaplan); Clinical Instructor in Medicine (Dr. Ownby); Clinical Instructor in Medicine (Dr. M. Grossman).

Footnotes
Submitted for publication Aug. 16, 1961.

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