心脏结节病与巨细胞性心肌炎的临床与组织学交叉点
The Clinical and Histological Intersection of Cardiac Sarcoidosis and Giant Cell Myocarditis.
作者信息
Sharma Toishi, Wahlberg Kramer, Keating Friederike, Harhash Ahmed, Cooper Leslie T
机构信息
Cardiology, University of Vermont, Burlington, USA.
Internal Medicine, Mayo Clinic, Jacksonville, USA.
出版信息
Cureus. 2024 May 7;16(5):e59783. doi: 10.7759/cureus.59783. eCollection 2024 May.
Abstract
The clinical and imaging features of cardiac sarcoidosis (CS) and giant cell myocarditis (GCM) are occasionally indistinguishable. This is a case of heart block and ventricular tachycardia where cardiac MRI, fluorodeoxyglucose positron emission tomography (FDG-PET) and biopsy revealed intermediate clinicohistologic phenotype between CS and GCM. This highlights gaps in the management of overlap conditions.
摘要
心脏结节病（CS）和巨细胞性心肌炎（GCM）的临床及影像学特征有时难以区分。本文报告一例心脏传导阻滞和室性心动过速患者，心脏磁共振成像（MRI）、氟脱氧葡萄糖正电子发射断层扫描（FDG-PET）及活检显示其临床组织学表型介于CS和GCM之间。这凸显了重叠病症管理方面的差距。
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