del Cid Mario R, Anand Rishi G, Sossaman Gregory N, Shah Sangeeta B
Internal Medicine Department, Ochsner Clinic Foundation, New Orleans, Louisiana, USA.
J La State Med Soc. 2008 May-Jun;160(3):155-9.
Massive pericardial effusion is rarely the sole clinical presenting symptom of sarcoidosis. Herein we report a case of recurrent pericardial effusions requiring surgical intervention secondary to sarcoidosis. A review of the literature regarding the prevalence/histopathology, the role of endomyocardial biopsy, the use of cardiac magnetic resonance imaging, and the utility of steroid based treatments in the management of cardiac sarcoidosis is discussed.
大量心包积液很少是结节病唯一的临床症状。在此,我们报告一例因结节病继发反复心包积液而需要手术干预的病例。本文还讨论了关于结节病的患病率/组织病理学、心内膜活检的作用、心脏磁共振成像的应用以及基于类固醇治疗在心脏结节病管理中的效用的文献综述。