一名外周血嗜酸性粒细胞增多患者的左心室质量

Left ventricular mass in a patient with peripheral eosinophilia.

作者信息

Kline Kristopher P, Sardana Vrinda, Winchester David E

机构信息

University of Florida, Division of Cardiovascular Medicine, Gainesville, Florida, USA.

出版信息

J Cardiovasc Med (Hagerstown). 2016 Dec;17 Suppl 2:e174-e175. doi: 10.2459/JCM.0000000000000116.

DOI:10.2459/JCM.0000000000000116

PMID:24838037

Abstract

: A 63-year-old man presented with dyspnea and night sweats. Blood work revealed an elevated white count of 23.7 × 10 cells/l with 33% eosinophils and bone marrow biopsy made a diagnosis of myeloproliferative eosinophilia. Transthoracic echocardiography found a large left ventricular mass filling the distal third of the cavity. Transesophageal echocardiograpm confirmed the findings. Herein, we discuss this unique case of hypereosinophilic syndromes with pathognomonic imaging of its cardiovascular sequelae.

摘要

一名63岁男性出现呼吸困难和盗汗。血液检查显示白细胞计数升高至23.7×10⁹细胞/升，嗜酸性粒细胞占33%，骨髓活检诊断为骨髓增殖性嗜酸性粒细胞增多症。经胸超声心动图发现左心室有一个大肿块，占据心腔远端三分之一。经食管超声心动图证实了这些发现。在此，我们讨论这例独特的高嗜酸性粒细胞综合征病例及其心血管后遗症的特征性影像学表现。