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May 1981

Spontaneous Hepatic Rupture in Rheumatoid Arthritis

Author Affiliations

From the Departments of Medicine (Drs Hocking, Ungerer, Bersohn, and Spiegel) and Pathology (Drs Lasser and Palos), UCLA School of Medicine.

Arch Intern Med. 1981;141(6):792-794. doi:10.1001/archinte.1981.00340060100023

• A fatal hepatic rupture developed, in a patient with rheumatoid arthritis, as a result of hepatic arteritis. The patient had hypotension, falling hematocrit level, hepatomegaly, and evidence of progressive hepatocellular dysfunction. Hepatic dysfunction is not uncommon in rheumatoid arthritis, but is usually asymptomatic. Hepatic arteritis is a rare manifestation of rheumatoid arthritis; however, recognition of this complication is important, since early intervention may be important in successful management.

(Arch Intern Med 1981;141:792-794)