Pleural and Pericardial Effusions in Rheumatoid Disease
Authors: HERBERT W. BERGER
Journal: Annals of Internal Medicine (1966)

Case Studies1 June 1966Pleural and Pericardial Effusions in Rheumatoid DiseaseHERBERT W. BERGER, M.D., STANLEY G. SECKLER, M.D.HERBERT W. BERGER, M.D.Search for more papers by this author, STANLEY G. SECKLER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-64-6-1291 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPleural and pericardial effusions are recognized manifestations of rheumatoid disease (1-7). Recently we observed two patients with rheumatoid arthritis who developed pleural effusions thought to be rheumatoid in origin; one patient also developed a pericardial effusion. We would like to compare these cases with others in the literature and to present our observations on the occurrence of "rheumatoid arthritis (RA) cells," positive latex fixation titers, low glucose concentration, and elevated lactic acid dehydrogenase levels in the effusions and to report a needle pleural biopsy with histology similar to a rheumatoid nodule.Case ReportsCASE 1A 63-year-old white man was...References1. HORLERTHOMPSON ARM: The pleural and pulmonary complications of rheumatoid arthritis. Ann. Intern. Med. 51: 1179, 1959. LinkGoogle Scholar2. CARRMAYNE DTJG: Pleurisy with effusion in rheumatoid arthritis, with reference to the low concentration of glucose in pleural fluid. Amer. Rev. Resp. Dis. 85: 345, 1962. MedlineGoogle Scholar3. LEESOXNORTHWOOD PRHCFSGA: Pleurisy with effusion in rheumatoid arthritis. Arch. Intern. Med. (Chicago) 104: 634, 1959. CrossrefMedlineGoogle Scholar4. EMERSON PA: Pleural effusion complicating rheumatoid arthritis. Brit. Med. J. 1: 428, 1956. 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CrossrefMedlineGoogle Scholar12. ROPESBAUER MWW: Synovial Fluid Changes in Joint Disease. Harvard University Press, Cambridge, Mass., 1953. Google Scholar13. WROBLEWSKI F: The significance of alterations in lactic dehydrogenase activity of body fluids in the diagnosis of malignant tumors. Cancer 12: 27, 1959. CrossrefMedlineGoogle Scholar14. HOLLANDERMCCARTYASTORGACASTRO-MURILLO JLDJGE: Studies on the pathogenesis of rheumatoid joint inflammation. Ann. Intern. Med. 62: 271, 1965. LinkGoogle Scholar15. RODNANEISENBEISCREIGHTON GPCHAS: The occurrence of rheumatoid factor in synovial fluid. Amer. J. Med. 35: 182, 1963. CrossrefMedlineGoogle Scholar16. LEBOWITZ WB: The heart in rheumatoid arthritis (rheumatoid disease). A clinical and pathological study of sixty-two cases. Ann. Intern. Med. 58: 102, 1963. LinkGoogle Scholar17. LASSITERTASSY GSFT: Malignant rheumatoid disease with aortic stenosis. Arch. Intern Med. (Chicago) 116: 930, 1965. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: HERBERT W. BERGER, M.D.; STANLEY G. SECKLER, M.D.Affiliations: Elmhurst, New YorkFrom the Department of Medicine, The Mount Sinai-City Hospital Center, Elmhurst, N. Y.Requests for reprints should be addressed to Herbert W. Berger, M.D., Department of Medicine, Mount Sinai Hospital Services, City Hospital Center at Elmhurst, 79-01 Broadway, Elmhurst, N. Y. 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YAM, M.D.Nodular pleuropulmonary rheumatoid diseaseRheumatoid Pericarditis 1 June 1966Volume 64, Issue 6Page: 1291-1297KeywordsArthritisAttentionDehydrogenasesHistologyHospital medicineLactic acidLatexPericardial diseasesPleural effusionRheumatoid arthritis ePublished: 1 December 2008 Issue Published: 1 June 1966 PDF downloadLoading ...