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KMID : 0368120160460030425
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Korean Circulation Journal
2016 Volume.46 No. 3 p.425 ~ p.428
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Non-Bacterial Thrombotic Endocarditis in a Patient with Rheumatoid Arthritis
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Choi Jung-Hye
Park Jeong-Eun
Kim Jang-Young
Kang Tae-Young
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Abstract
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Rheumatoid arthritis (RA) is frequently associated with various extra-joint complications. Although rare, thromboembolic complications are associated with high morbidity and mortality. We experienced a very rare case of nonbacterial thrombotic endocarditis (NBTE) and subsequent embolic stroke in a patient with RA. A 72-year-old male with a 15-year history of RA suddenly developed neurologic symptoms of vomiting and dizziness. Brain magnetic resonance imaging revealed recently developed multiple cerebellar and cerebral lacunar infarctions. Echocardiography showed a pulsating mitral valve vegetation involving the posterior cusp of the mitral valve leaflet, which was confirmed as NBTE. Immediate anti-coagulation therapy was started. The NBTE lesion disappeared in follow-up echocardiography after 4 weeks of anti-coagulation treatment.
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KEYWORD
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Endocarditis, non-infective, Arthritis, rheumatoid, Mitral valve
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