从孤立的右心室血栓到高嗜酸性粒细胞综合征的诊断
From an isolated right ventricular thrombus to the diagnosis of the hypereosinophilic syndrome.
作者信息
Hajsadeghi Shokoufeh, Chitsazan Mitra, Pouraliakbar Hamid Reza, Sadeghipour Alireza
机构信息
Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Cardiol Cases. 2011 Mar 27;3(3):e133-e136. doi: 10.1016/j.jccase.2011.03.002. eCollection 2011 Jun.
Abstract
This case concerns a 58-year-old male who presented with abdominal pain, anorexia, nausea, and exertional dyspnea of one month's duration. On further evaluation peripheral eosinophilia was conspicuous and eosinophilic infiltration was found in the gastrointestinal system and bone marrow. Echocardiography showed an isolated right ventricular thrombus with tricuspid valve involvement. Cardiac magnetic resonance imaging helped to confirm the diagnosis of cardiac involvement in hypereosinophilic syndrome without requiring a cardiac biopsy.
摘要
该病例为一名58岁男性，出现腹痛、厌食、恶心及劳力性呼吸困难1个月。进一步检查发现外周血嗜酸性粒细胞显著增多，且在胃肠道系统和骨髓中发现嗜酸性粒细胞浸润。超声心动图显示孤立的右心室血栓并累及三尖瓣。心脏磁共振成像有助于确诊高嗜酸性粒细胞综合征的心脏受累情况，无需进行心脏活检。
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