Hyogo M, Kamitani T, Oguni A, Kawasaki S, Miyanaga H, Takahashi T, Kunishige H, Andachi H
Third Department of Internal Medicine, Matsushita Memorial Hospital, Moriguchi, Osaka.
Intern Med. 1997 Dec;36(12):894-7. doi: 10.2169/internalmedicine.36.894.
Acute necrotizing eosinophilic myocarditis is characterized by acute onset, fulminant congestive heart failure, and extensive necrosis of myocytes with striking eosinophilic infiltration. However, multinucleated giant cells sometimes appear in the fulminant phase of severe myocarditis. This is the first case of a patient with a 1 year previous history of idiopathic thrombocytopenic purpura, who presented with acute necrotizing eosinophilic myocarditis with giant cell infiltration.
急性坏死性嗜酸性粒细胞性心肌炎的特点是起病急、暴发性充血性心力衰竭以及伴有显著嗜酸性粒细胞浸润的心肌细胞广泛坏死。然而，多核巨细胞有时会出现在重症心肌炎的暴发性阶段。这是首例有特发性血小板减少性紫癜1年病史的患者，该患者表现为伴有巨细胞浸润的急性坏死性嗜酸性粒细胞性心肌炎。
