嗜酸性粒细胞肉芽肿伴多血管炎的心脏受累。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2024-08-19 DOI:10.61409/V02240141

Michella Dinithi Peiris, Lotte Saaby, Keld-Erik Byg

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引用次数: 0

摘要

本病例报告描述了一名因嗜酸性粒细胞肉芽肿伴多血管炎（EGPA）和心肌炎导致严重心力衰竭的 40 岁男性患者。通过心脏磁共振成像（CMR）的快速诊断方法以及糖皮质激素和环磷酰胺的免疫抑制治疗，患者的心功能接近正常。EGPA引起的心肌炎非常罕见，但会危及生命，因此，对于已知患有哮喘并伴有嗜酸性粒细胞增多和心脏受累的患者，应考虑采用系统的方法和早期CMR检查。

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Cardiac involvement in eosinophilic granulomatosis with polyangiitis.

This case report describes a 40-year-old male patient with severe cardiac failure due to eosinophilic granulomatosis with polyangiitis (EGPA) and myocarditis. The fast diagnostic approach with cardiac MRI (CMR) and immunosuppressive treatment with glucocorticoid and cyclophosphamide near-normalized the patient's cardiac function. Myocarditis due to EGPA is rare, however life-threatening, so a systematic approach and early CMR should be considered in patients with known asthma presenting with eosinophilia and cardiac involvement.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.