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SMALL VESSEL MULTI-ORGAN VASCULITIS AND MARANTIC ENDOCARDITIS COMPLICATING RHEUMATOID ARTHRITIS

ADAM MORRİS, PİYALİ PAL, EDMOND O’RİORDAN, DİMİTRİOS POULİKAKOS

European Journal of Rheumatology - 2019;6(4):223-225

Department of Renal Medicine, Salford Royal NHS Foundation, Salford, UK

 

Marantic endocarditis is an extremely rare extra-articular complication of rheumatoid arthritis. To date, documented cases typically occurred in the absence of other systemic features of disease activity. We report a rare and exceptional example of marantic endocarditis secondary to fulminant systemic rheumatoid vasculitis with multi-organ disease. Findings from this case and literature review suggest that marantic endocarditis associated with rheumatoid vasculitis displays a tendency to affect the mitral valve with high risk of embolization.