CARDIAC SARCOIDOSIS - DIAGNOSIS WITH ENDOMYOCARDIAL BIOPSY AND TREATMENT WITH CORTICOSTEROIDS

被引:88
作者
LORELL, B [1 ]
ALDERMAN, EL [1 ]
MASON, JW [1 ]
机构
[1] STANFORD UNIV,SCH MED,DIV CARDIOL,STANFORD,CA 94305
关键词
D O I
10.1016/0002-9149(78)90999-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 27 year old woman was hospitalized for progressive dyspnea, fatigue and retrosternal chest pain. She had progressive cardiac enlargement with clinical and laboratory confirmation of a dilated cardlomyopathy. Transvenous percutaneous right ventricular endomyocardial biopsy yielded a specimen showing a noncaseating granuloma. The patient's dyspnea responded dramatically to steroid therapy with corresponding Improvement in radiographic and echographic measures of ventricular performance. This case illustrates the problem of diagnosing cardiac sarcoidosis when there is no apparent evidence of other organ Involvement. © 1978.
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收藏
页码:143 / 146
页数:4
相关论文
共 20 条
[11]  
Morales A R, 1974, Pathol Annu, V9, P139
[12]   MYOCARDIAL SARCOIDOSIS [J].
PEACOCK, RA ;
LIPPSCHUTZ, EJ ;
LUKAS, A .
CIRCULATION, 1957, 16 (01) :67-71
[13]   SARCOID HEART DISEASE [J].
PORTER, GH .
NEW ENGLAND JOURNAL OF MEDICINE, 1960, 263 (26) :1350-1357
[14]   SARCOIDOSIS OF HEART - CLINICOPATHOLOGIC STUDY OF 35 NECROPSY PATIENTS (GROUP-1) AND REVIEW OF 78 PREVIOUSLY DESCRIBED NECROPSY PATIENTS (GROUP 2) [J].
ROBERTS, WC ;
MCALLISTER, HA ;
FERRANS, VJ .
AMERICAN JOURNAL OF MEDICINE, 1977, 63 (01) :86-108
[15]  
SCHIFF AD, 1969, NEW ENGL J MED, V281, P141
[16]  
SEKIGUCHI M, 1969, JPN HEART J, V10, P30
[17]   COURSE AND PROGNOSIS OF SARCOIDOSIS AROUND WORLD [J].
SILTZBACH, LE ;
JAMES, DG ;
NEVILLE, E ;
TURIAF, J ;
BATTESTI, JP ;
SHARMA, OP ;
HOSODA, Y ;
MIKAMI, R ;
ODAKA, M .
AMERICAN JOURNAL OF MEDICINE, 1974, 57 (06) :847-852
[18]   CLINICAL COURSE OF CARDIAC SARCOIDOSIS [J].
STEIN, E ;
STIMMEL, B ;
SILTZBACH, LE .
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, 1976, 278 (SEP9) :470-474
[19]   ASYMPTOMATIC ELECTROCARDIOGRAPHIC ALTERATIONS IN SARCOIDOSIS [J].
STEIN, E ;
JACKLER, I ;
STIMMEL, B ;
STEIN, W ;
SILTZBACH, LE .
AMERICAN HEART JOURNAL, 1973, 86 (04) :474-477
[20]   MYOCARDIAL SARCOIDOSIS PRESENTING AS ACUTE MITRAL-INSUFFICIENCY [J].
ZONERAICH, S ;
GUPTA, MP ;
MEHTA, J ;
ZONERAICH, O ;
WESSELY, Z .
CHEST, 1974, 66 (04) :452-454