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Korean Circ J. 2016 May;46(3):425-428. English. Case Report.
Choi JH , Park JE , Kim JY , Kang T .
Department of Rheumatology, Yonsei University Wonju College of Medicine, Wonju, Korea.
Department of Cardiology, Yonsei University Wonju College of Medicine, Wonju, Korea.

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.

Copyright © 2019. Korean Association of Medical Journal Editors.