Baylor Scott & White Heart and Vascular Institute; Departments of Internal Medicine; Pathology, Baylor University Medical Center, Baylor Scott & White Health, Dallas, Texas.
Baylor Scott & White Heart and Vascular Institute.
Am J Cardiol. 2023 Mar 1;190:131-135. doi: 10.1016/j.amjcard.2022.11.032.
Described herein are 2 patients diagnosed clinically as "giant cell myocarditis." Both had short clinical courses (∼ 2 months) before lifesaving orthotopic heart transplantation (OHT). Examination of the hearts disclosed multiple widespread yellow lesions in the ventricular walls. The short clinical courses in these 2 patients are quite different from cardiac sarcoidosis, which typically has courses lasting years. In contrast to cardiac sarcoidosis, the ventricular myocardial lesions were yellow in color not white as in cardiac sarcoidosis. In conclusion, we consider giant-cell myocarditis and cardiac sarcoidosis to be different conditions and not simply different stages of the same condition.
本文描述了 2 例临床诊断为“巨细胞心肌炎”的患者。这 2 例患者在接受救命的原位心脏移植（OHT）之前，均经历了约 2 个月的短暂临床病程。心脏检查显示心室壁有多处广泛的黄色病变。这 2 例患者的短暂临床病程与典型病程持续数年的心脏结节病明显不同。与心脏结节病不同，心室心肌病变呈黄色而非心脏结节病中的白色。总之，我们认为巨细胞心肌炎和心脏结节病是不同的疾病，而不仅仅是同一疾病的不同阶段。
