Summary
Valvar heart disease is a rare complication of juvenile rheumatoid arthritis (JRA), the aortic valve being most commonly affected. Reported cases with symptomatic mitral involvement are rare. We describe a 13-year-old boy with seronegative, polyarticular onset of JRA in whom mitral and aortic valve insufficiency was diagnosed by clinical and laboratory investigations. Two-dimensional and continuous-wave Doppler echocardiography confirmed mild pericardial effusion with moderate mitral and mild aortic insufficiency. Cardiac assessment and echocardiogrphic follow-up are recommended in all patients with JRA.
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Özer, S., Alehan, D., Özme, S. et al. Mitral and aortic insufficiency in polyarticular juvenile rheumatoid arthritis. Pediatr Cardiol 15, 151–153 (1994). https://doi.org/10.1007/BF00796329
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DOI: https://doi.org/10.1007/BF00796329