Stevens A W, Grossman M E, Barr M L
Dermatology Consultation Service, Columbia-Presbyterian Medical Center, New York, NY, USA.
J Am Acad Dermatol. 1996 Aug;35(2 Pt 2):310-2. doi: 10.1016/s0190-9622(96)90656-8.
Giant cell myocarditis is a rare idiopathic inflammatory heart disease characterized histologically by multinucleated giant cells, and clinically by rapid progressive heart failure, arrhythmias, or sudden death, often within hours to days of initial symptoms. There are two previously reported cases of giant cell myocarditis with idiopathic orbital myositis. We report a similar case in a patient who also had vitiligo, a diagnostic endomyocardial biopsy, and survival because of a cardiac transplant. Giant cell myocarditis should be monitored for in the course of inflammatory orbital myopathy because of its life-threatening fulminant course.
巨细胞性心肌炎是一种罕见的特发性炎症性心脏病，组织学特征为多核巨细胞，临床上表现为快速进行性心力衰竭、心律失常或猝死，通常在出现初始症状后的数小时至数天内发生。此前有两例关于巨细胞性心肌炎合并特发性眼眶肌炎的报道。我们报告了一例类似病例，该患者还患有白癜风，接受了诊断性心内膜心肌活检，并因心脏移植而存活。由于巨细胞性心肌炎具有危及生命的暴发性病程，因此在炎症性眼眶肌病的病程中应密切监测。
