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Severe giant cell valvulitis in a patient with reiter's syndrome

✍ Scribed by Terry E. Podell; Daniel J. Wallace; Michael C. Fishbein; Kent Bransford; James R. Klinenberg; Seymour Levine


Publisher
John Wiley and Sons
Year
1982
Tongue
English
Weight
306 KB
Volume
25
Category
Article
ISSN
0004-3591

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✦ Synopsis


The presence of giant cells in heart valves has never been reported. In giant cell arteritis, giant cells c a n involve coronary arteries and the aorta, but they have never been demonstrated in heart valves ( 1,2). Takayasu's arteritis is similar t o giant cell arteritis, especially in its "pre-pulseless" phase; it often involves the aortic root and its branches and can cause aortic regurgitation ( 3 ) . W e report a patient with Reiter's syndrome who had severe giant cell valvulitis of aortic and mitral valves, necessitating valve replacements.

CASE REPORT

A 27-year-old black woman was well until July 1977, when polyarthritis of her knees, ankles, wrists, and shoulders developed. She also had low back pain, recurrent


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