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巨细胞性心肌炎与心脏结节病：利用氟代脱氧葡萄糖正电子发射断层显像重新审视诊断

Giant Cell Myocarditis vs Cardiac Sarcoidosis: Reconsidering the Diagnosis With FDG PET Imaging.

作者信息

Fraser Ethan J, Culver Austin, Lam Phillip H, Hofmeyer Mark, Sheikh Farooq H, Gupta Richa

机构信息

Department of Internal Medicine, MedStar Georgetown University Hospital, Washington, DC, USA.

MedStar Heart and Vascular Institute, Washington, DC, USA.

出版信息

JACC Case Rep. 2024 Nov 20;29(22):102738. doi: 10.1016/j.jaccas.2024.102738.

DOI:10.1016/j.jaccas.2024.102738
PMID:39691891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646884/
Abstract

Giant cell myocarditis (GCM) and cardiac sarcoidosis share clinical and histologic features, but whether they represent separate processes or lie on an inflammatory cardiomyopathy spectrum is unclear. We present a case of cardiogenic shock thought to be secondary to biopsy-proven GCM with a subsequent post-transplant diagnosis of sarcoidosis through 18-fluorodeoxyglucose positron emission tomography and biopsy.

摘要

巨细胞性心肌炎（GCM）与心脏结节病具有共同的临床和组织学特征，但它们是代表不同的疾病过程还是属于炎症性心肌病谱系尚不清楚。我们报告一例心源性休克病例，最初认为是活检证实的GCM所致，随后通过18氟脱氧葡萄糖正电子发射断层扫描和活检在移植后诊断为结节病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/cfc7952fe147/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/ba27497824e0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/9721671b94e1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/190db9de7adf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/7de96a74c783/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/f7abf7ec37f7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/cfc7952fe147/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/ba27497824e0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/9721671b94e1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/190db9de7adf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/7de96a74c783/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/f7abf7ec37f7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/11646884/cfc7952fe147/gr4.jpg

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本文引用的文献

1
Recurrent giant cell myocarditis after heart transplant: a case report.心脏移植术后复发性巨细胞性心肌炎：一例报告
Eur Heart J Case Rep. 2022 Sep 5;6(9):ytac362. doi: 10.1093/ehjcr/ytac362. eCollection 2022 Sep.
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Cardiac Sarcoidosis and Giant Cell Myocarditis: Actually, 2 Ends of the Same Disease?心脏结节病与巨细胞性心肌炎：实际上，是同一种疾病的两个极端？
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