@entity299 in XXXX .

@entity1 @entity296 @entity714 @entity6104 @entity1691 @entity299 @entity4788 @entity616
@entity6104 was found in three @entity1 who presented with @entity299 . In two @entity1 , @entity6104 had been present for more than 30 years and had been previously unrecognized. These @entity1 included a 67 year old @entity1 with complete @entity616 of 13 years' duration, and his son, who had @entity714 and chronic generalized @entity296 . A chart review of 19 other @entity1 with @entity6104 who were seen at this institution disclosed five @entity1 with @entity616 . Transient first-degree @entity616 was the most common disturbance detected and was usually associated with active @entity6104 . Some @entity616 appeared after a long latent period at a time when other manifestations of @entity6104 were inactive. An association with this disorder was therefore not obvious. In all five @entity1 with @entity6104 and conduction disturbances, testing for @entity4788 antigen gave positive results. Both clinical and histopathologic changes in the heart in @entity6104 are analogous to those in @entity1691 , also associated with @entity4788 antigen. We suggest that the heart, like the joints and iris, may be a target organ for @entity4788 -associated disease by a mechanism that remains to be defined.
