Coronary and peripheral vascular occlusion due to rheumatoid arteritis

Coronary and peripheral vascular occlusion due to rheumatoid arteritis.

Introduction Vasculitis is a well recognized complication of rheumatoid arthritis tending to occur in individuals with severe seropositive nodular disease. It commonly affects small vessels, particularly the digital arteries where the lesion is usually intimal proliferation without significant arterial wall necrosis. Focal ischaemic micro-infarction often occurs, occasionally leading to localiz...

Coronary arteritis complicating rheumatoid arthritis.

The case is described of a patient with rheumatoid arthritis (RA) who developed heart failure and vasculitis and died of a myocardial infarction. Autopsy showed vasculitis of several major epicardial coronary arteries. Coronary arteritis in a patient with RA is seldom diagnosed during their lifetime but should be suspected when such a patient develops ischaemic heart disease.

Acute abdomen in rheumatoid arthritis due to necrotizing arteritis.

Electroretinal responses in ocular vascular occlusions due to temporal arteritis.

Temporal arteritis is a potentially blinding disease of the elderly; its effects are principally due to inflammatory obliteration of the arterial supply to the retina and the optic nerve head. The ophthalmic artery and the extraocular course of the central retinal and posterior ciliary arteries may be involved singly or in combination. The usual presenting feature in these cases is acute ischae...

Coronary dissection and occlusion due to sports injury.

A29-year-old man presented with heavy chest pain of 1 hour duration. Two months earlier, after a violent body check while playing American football, he had the same discomfort, albeit to a lesser degree, on slight exertion. Previously, he had been healthy, with no risk factors for coronary artery disease. Physical examination was unremarkable. The ECG showed an extensive acute anterior infarcti...