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Clinical Recognition

Charles F. Wooley, MD; Nobuhisa Baba, MD; Joseph M. Ryan, MD

Arch Intern Med. 1970;125(1):126-128.

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

In 1923, Libman ¹ characterized the various forms of endocarditis; in the group of uncertain etiology, terminal endocarditis was considered to occur without recognized symptoms at the end of a chronic, debilitating disease. Gross and Friedberg ² used the descriptive term nonbacterial thrombotic endocarditis (NBTE), segregated the clinical syndromes with which NBTE was associated, and viewed this form of endocarditis as an accidental occurrence in the course of any fatal disease, without clinical significance. Libman³ subsequently noted occasional embolization with NBTE.

The historical perspective, conflicting terminology, nature, and pathogenesis of these lesions are contained in reports by Allen and Sirota,⁴ MacDonald and Robbins,⁵ Barry and Scarpeli,⁶ and in a series of studies by others.^7-10 As a result of these observations, NBTE has been considered as an important source for emboli, a potentially recognizable clinical entity (frequently associated with cancer, heart failure, or vascular thrombosis) and a step in the pathogenesis . . . [Full Text PDF of this Article]

Author Affiliations
Columbus, Ohio

From the departments of medicine (Drs. Wooley and Ryan) and pathology (Dr. Baba), the Ohio State University College of Medicine, Columbus.

Footnotes
Received for publication, Feb 26, 1969; accepted March 3.

Reprint requests to 410 W Tenth Ave, Columbus, Ohio 43210.

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