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crista
Forum Guru

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Posts: 408
03/18/04 - 05:18 PM             #1

A 52-year-old woman has long-standing rheumatoid arthritis (RA) and
is being treated with corticosteroids and nonsteroidal anti-inflammatory
drugs (NSAIDs). Which of the following cardiac complications may arise in
this clinical setting?
A. Constrictive pericarditis
B. Dilated cardiomyopathy
C. Hypersensitivity myocarditis
D. Hypertrophic cardiomyopathy
E. Restrictive cardiomyopathy

usmleasr
Forum Guru

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03/18/04 - 05:40 PM             #2

E.restrictive CM(thinking of amyloidosis) :roll:

crista
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03/18/04 - 05:41 PM             #3

:roll: i thought so

asmi
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03/18/04 - 05:43 PM             #4

:roll:

usmleasr
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03/18/04 - 05:43 PM             #5

what is the ans?

crista
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Posts: 408
03/18/04 - 05:45 PM             #6

i don't have it,i'm sorry.

Gul
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03/18/04 - 06:04 PM             #7

Yes , the answer is restrictive cardiomyopathy.Long standing inflammation is associated iwth deposition of amyloid ,AA, which may involve kidneys, heart , liver, skin & skeletal muscle

crista
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03/18/04 - 06:05 PM             #8

thank you

asmi
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03/18/04 - 08:55 PM             #9

thanks gul

dyk33
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03/18/04 - 09:11 PM             #10

i think it is constrictive pericarditis. per Robbins, pg589

the heart is involved in 20 to 40% of cases of severe prolonged RA. the most common finding is a fibrinous pericarditis that may progress to fibrous thickening of the percardium with dense fibrous adhesions.

any other thoughts?

Gul
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03/19/04 - 12:44 AM             #11

Umm Ithink u're right too. But the problem is what about the long standing one ? I have read the both to be resulting from it . maybe anyone else could help (coz the explanations sound to be true for both )







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