Rheumatoid arthritis: a rare cause of cardiac tamponade / Kardiyak tamponadin nadir bir nedeni: romatoid artrit

Rheumatoid arthritis (RA) is a chronic multisystem disease of unknown cause which affects approximately 1% of the population. The typical characteristic of RA is persistent inflammatory synovitis which usually involves peripheral joints in a symmetric distribution. Systemic involvements of RA include pericarditis, pleuritis, vasculitis, entrapment neuropathy, interstitial lung disease and Sjogren and Felty syndromes. Echocardiographic and postmortem studies have shown that RA affects pericardium in nearly 50% of the patients. However, cardiac tamponade is a rare complication of RA. In this report, we present a surgically-treated 61-year-old female patient with cardiac tamponade secondary to loculated pericardial effusion. Key words: Cardiac tamponade; pericardial effusion; pericardium; rheumatoid arthritis. Romatoid artrit (RA) toplumun yaklasik %1'inde gorulen, nedeni bilinmeyen, multisistem tutulumlu kronik bir hastaliktir. Hastaligin tipik ozelligi genellikle periferik eklemleri simetrik dagilimli olarak tutan persistan inflamatuar sinovittir. Romatoid artritin sistemik tutulumlari perikardit, plorit, vaskulit, tuzak noropatisi, interstisyel akciger hastaligi, Sjogren ve Felty sendromlaridir. Hastalarin yaklasik %50'sinde RA'nin perikardi etkiledigi, ekokardiyografik ve postmortem calismalarda gosterilmistir. Buna ragmen, kardiyak tamponad RA'nin nadir bir komplikasyonudur. Bu yazida, cerrahi olarak tedavi edilmis olan kardiyak tamponada neden olan lokule perikardiyal effuzyonlu 61 yasinda bir kadin hasta sunuldu. Anahtar sozcukler: Kardiyak tamponad; perikardiyal effuzyon; perikard; romatoid artrit.