心脏 MRI 检测疑似系统性肉样瘤病患者的心肌组织变化。
Myocardial tissue changes detected by cardiac MRI in a patient with suspected systemic sarcoidosis.
机构信息
Institute for Experimental and Translational Cardiovascular Imaging, DZHK Centre for Cardiovascular Imaging, University Hospital Frankfurt, Frankfurt Am Main, Germany.
Department of Cardiology, School of Medicine, Mongolia-Japan Teaching Hospital, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
出版信息
BMC Cardiovasc Disord. 2023 Mar 11;23(1):131. doi: 10.1186/s12872-023-03133-x.
BACKGROUND
The role of cardiac magnetic resonance imaging in the early management of chronic cardiac inflammatory conditions is growing. Our case enlightens the benefit of quantitative mapping in the monitoring and treatment guidance in systemic sarcoidosis.
CASE PRESENTATION
We report about a 29-year-old man with an ongoing dyspnea and bihilar lymphadenopathy, suggesting sarcoidosis. Cardiac magnetic resonance showed high mapping values, but no scarring. In follow-ups, cardiac remodeling was noted; cardioprotective treatment normalized cardiac function and mapping markers. Definitive diagnosis was achieved in extracardiac lymphatic tissue during a relapse.
CONCLUSION
This case shows the role that mapping markers can play in the detection and treatment at early stage of systemic sarcoidosis.
背景
心脏磁共振成像在慢性心脏炎症性疾病的早期管理中的作用日益增强。我们的病例阐明了定量图谱在系统性肉样瘤病的监测和治疗指导中的益处。
病例介绍
我们报告了一例 29 岁男性，持续呼吸困难和双肺门淋巴结病，提示肉样瘤病。心脏磁共振显示高图谱值，但无瘢痕。随访中，发现心脏重构；心脏保护治疗使心脏功能和图谱标志物正常化。在复发时，在心脏外淋巴组织中明确诊断。
结论
本病例表明，图谱标志物在系统性肉样瘤病的早期发现和治疗中具有重要作用。
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