{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:08:11Z","timestamp":1782601691965,"version":"3.54.5"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,5,11]]},"abstract":"<jats:p>A 65-year-old man presented with long-standing rheumatoid arthritis (RA), severe fatigue and mild arthritis of metacarpophalaneal joints. Physical examination revealed S3, II\/IV decrescendo diastolic murmur and 2+ LL oedema. Anticyclic citrullinated peptide antibodies were &gt;250\u2005units. Echocardiogram showed an 8\u2005cm pericardial mass with no atrial or ventricular collapse and mild to moderate aortic regurgitation. Cardiac MRI defined the mass as a heterogeneous entity attached to the right, anterior and inferior heart borders, with compression on right cardiac structures and the left ventricle. CT-guided biopsy demonstrated fibrinous material without granulomas or infection. Fatigue did not improve on immunosuppression with low-dose prednisone and leflunamide. Cardiac tamponade was confirmed by heart catheterisation and the mass was surgically excised with partial pericardiectomy. The patient had a dramatic improvement and, 4\u2005years later, he remains asymptomatic cardiac wise. This case highlights the clinical significance of pericardial disease in RA and its response to therapy.<\/jats:p>","DOI":"10.1136\/bcr-2015-209861","type":"journal-article","created":{"date-parts":[[2015,6,8]],"date-time":"2015-06-08T12:14:28Z","timestamp":1433765668000},"page":"bcr2015209861","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Pericardial mass in a patient with rheumatoid arthritis"],"prefix":"10.1136","volume":"2015","author":[{"given":"Mohammad","family":"Al-Ani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Weber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Winchester","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Kosboth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,6,8]]},"reference":[{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1950.00230110026002"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.2","doi-asserted-by":"publisher","DOI":"10.2174\/138161212799504795"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.678334"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2010.02.002"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2009.11.002"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.6","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1093\/oxfordjournals.eurheartj.a060892","article-title":"Cardiac involvement in rheumatoid arthritis: evidence of silent heart disease","volume":"16","author":"Corrao","year":"1995","journal-title":"Eur Heart J"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.7","first-page":"927","article-title":"Is silent ischemic heart disease evident in rheumatoid arthritis patients?","volume":"9","author":"Dala","year":"2012","journal-title":"Life Sci J"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(73)90040-5"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.9","first-page":"461","article-title":"Chronic pericardial disease in patients with rheumatoid arthritis: a longitudinal study","volume":"75","author":"Kelly","year":"1990","journal-title":"Q J Med"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.10","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199069020-00002"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.11","first-page":"47","article-title":"Rheumatoid pericardial mass producing right ventricle inflow tract restriction: a case report","volume":"104","author":"Rodriguez Monserrate","year":"2012","journal-title":"Bol Asoc Med P R"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.12","doi-asserted-by":"crossref","first-page":"92","DOI":"10.5694\/j.1326-5377.1986.tb113669.x","article-title":"Cardiac rheumatoid nodules","volume":"144","author":"Ojeda","year":"1986","journal-title":"Med J Aust"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.13","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2005.078063"},{"key":"2025042706303687000_2015.jun08_2.bcr2015209861.14","unstructured":"Kumar V , Abbas AK , Fausto N , et al . Robbins and cotran pathologic basis of disease. 8th edn. Philadelphia, PA: Saunders Elsevier, 2010."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-209861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:30:45Z","timestamp":1745760645000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-209861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,8]]},"references-count":14,"alternative-id":["10.1136\/bcr-2015-209861"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-209861","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,8]]}}}