Eosinophilic Myocarditis in a Patient With Sickle Cell Disease.

Autor: Imran HM; Division of Cardiovascular Medicine, Rhode Island Hospital, Providence, Rhode Island, USA.; Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA., Ather K; Division of Cardiovascular Medicine, Rhode Island Hospital, Providence, Rhode Island, USA.; Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA., Gutman NH; Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA.; Division of Cardiovascular Medicine, The Miriam Hospital, Providence, Rhode Island, USA., Atalay MK; Department of Diagnostic Radiology, Rhode Island Hospital, Providence, Rhode Island, USA.; Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA., Poppas A; Division of Cardiovascular Medicine, Rhode Island Hospital, Providence, Rhode Island, USA.; Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA.
Jazyk: angličtina
Zdroj: JACC. Case reports [JACC Case Rep] 2021 Apr 07; Vol. 3 (6), pp. 918-921. Date of Electronic Publication: 2021 Apr 07 (Print Publication: 2021).
DOI: 10.1016/j.jaccas.2021.01.006
Abstrakt: A 23-year-old man with sickle cell disease treated with splenectomy and allogenic stem cell transplantation presented with recurrent chest pain, elevated cardiac enzymes, and unremarkable electrocardiography. His work-up revealed eosinophilia, raising concern for eosinophilic myocarditis. Cardiac magnetic resonance imaging showed patchy late gadolinium enhancement of the left ventricular free wall, suggestive of myocarditis. He was treated with high-dose intravenous steroids followed by oral prednisone, with improvement in his symptoms and eosinophilia and a decrease in cardiac enhancement on follow-up imaging. ( Level of Difficulty: Intermediate. ).
Competing Interests: All authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2021 The Authors.)
Databáze: MEDLINE