纵隔受累的心脏结节病危及生命。

IF 1.4 4区医学 Q4 RESPIRATORY SYSTEM

Sarcoidosis, Vasculitis, and Diffuse Lung Diseases Pub Date : 2023-09-13 DOI:10.36141/svdld.v40i3.14519

Marcello Ciuffreda, Valentina Valenti, Giuseppe Manfrè, Antonio Barberi, Patrizia Porzi, Francesco Versaci, Antonella Sarni

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引用次数: 0

摘要

我们描述了一例非典型结节病的临床病例。一名年轻患者因急性心力衰竭和严重心功能障碍进入急诊室，模拟扩张型心肌病或严重心肌炎。用类固醇治疗氧气治疗难治的缺氧性呼吸衰竭。这一诊断是由一个多学科团队做出的，他们决定除了进行心脏MRI外，还进行支气管内超声引导下的经支气管针吸（EBUS TBNA）。在这种情况下，结果是获得了及时的治疗反应，以保护患者的心脏功能。

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Life threating onset of Cardiac Sarcoidosis with mediastinal involvement.

We have described a clinical case with atypical onset of sarcoidosis. A young patient presented to the emergency room with acute heart failure and severe cardiac dysfunction simulating dilated cardiomyopathy or severe myocarditis. Hypoxic respiratory failure refractory to oxygen therapy was treated with steroids. The diagnosis was made by a multidisciplinary team who decided to perform EndoBronchial UltraSound-guided TransBronchial Needle Aspiration (EBUS TBNA) in addition to a cardiac MRI. The result was to obtain, in this case, a prompt therapeutic response in order to preserve the patient cardiac function.

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来源期刊

Sarcoidosis, Vasculitis, and Diffuse Lung Diseases 医学-呼吸系统

CiteScore

2.20

自引率

6.20%

发文量

期刊介绍： Sarcoidosis Vasculitis and Diffuse Lung Disease is a quarterly journal founded in 1984 by G. Rizzato. Now directed by R. Baughman (Cincinnati), P. Rottoli (Siena) and S. Tomassetti (Forlì), is the oldest and most prestigious Italian journal in such field.