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心脏磁共振成像显示孤立性左心室受累的吕弗勒心内膜炎。

Loeffler's endocarditis with isolated left ventricular involvement on cardiac MRI.

作者信息

Kumar Pramod, Chandrashekhara Sheragaru Hanumanthappa, Kumar Sanjeev, Malhi Amarinder Singh

机构信息

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, Delhi, India.

出版信息

BMJ Case Rep. 2019 Apr 20;12(4):e227642. doi: 10.1136/bcr-2018-227642.

Abstract

Loeffler endocarditis is an uncommon restrictive cardiomyopathy associated with eosinophilia and endomyocardial fibrosis causing diastolic restriction, predominantly involving the right ventricle. Cardiac MRI plays a crucial role in early detection of disease. Early disease usually responds well to corticosteroids. We describe a case of Loeffler endocarditis with isolated left ventricular involvement on MRI in a young male having hypereosinophilia.

摘要

吕弗勒心内膜炎是一种罕见的限制性心肌病,与嗜酸性粒细胞增多和心内膜心肌纤维化有关,可导致舒张功能受限,主要累及右心室。心脏磁共振成像(MRI)在疾病的早期检测中起着关键作用。早期疾病通常对皮质类固醇反应良好。我们描述了一例年轻男性吕弗勒心内膜炎患者,其MRI显示孤立的左心室受累,伴有嗜酸性粒细胞增多。

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