Lorell B, Alderman E L, Mason J W
Am J Cardiol. 1978 Jul;42(1):143-6. doi: 10.1016/0002-9149(78)90999-2.
A 27 year old woman was hospitalized for progressive dyspnea, fatigue and retrosternal chest pain. She had progressive cardiac enlargement with clinical and laboratory confirmation of a dilated cardiomyopathy. Transvenous percutaneous right ventricular endomyocardial biopsy yielded a specimen showing a noncaseating granuloma. The patient's dyspnea responded dramatically to steroid therapy with corresponding improvement in radiographic and echographic measures of ventricular performance. This case illustrates the problem of diagnosing cardiac sarcoidosis when there is no apparent evidence of other organ involvement.
一名27岁女性因进行性呼吸困难、乏力和胸骨后胸痛入院。她有进行性心脏扩大，临床和实验室检查证实为扩张型心肌病。经静脉经皮右心室心内膜活检获得的标本显示为非干酪样肉芽肿。患者的呼吸困难对类固醇治疗反应显著，心室功能的影像学和超声心动图测量结果相应改善。该病例说明了在没有其他器官受累明显证据时诊断心脏结节病的问题。
