Case 224: Cardiac Involvement in Erdheim-Chester Disease
| Autor: | Santiago Nieto Llanos, Luis Felipe Aguilera del Hoyo, Jaime de Miguel Criado, José Carlos Porro Fernández, Patricia Fraga Rivas, Laura García del Salto, Jesús Casado Cerrada, Eva Cueva Pérez |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Myocardium Radiography Magnetic resonance imaging Chest pain medicine.disease Magnetic Resonance Imaging Pericardial effusion Histiocytosis Langerhans-Cell medicine.anatomical_structure Heart failure medicine Humans Abdomen Radiology Nuclear Medicine and imaging Medical history Radiology medicine.symptom Enlarged heart Tomography X-Ray Computed business |
| Zdroj: | Radiology. 277:916-921 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiol.2015131751 |
| Popis: | History A 61-year-old man with no relevant medical history was admitted to the emergency department with symptoms of congestive heart failure and a 1-week history of chest pain, progressive dyspnea, abdominal swelling, bipedal edema, and anorexia. Laboratory test results, including complete blood count and electrolyte, creatinine, creatine phosphokinase, and troponin T levels were normal. Electrocardiographic findings were unremarkable. Initial chest radiography showed an enlarged heart with bilateral pleural effusion. Transthoracic echocardiography revealed an irregular right atrial mass and moderate to severe pericardial effusion. The patient subsequently underwent computed tomography (CT) of the chest, abdomen, and pelvis followed by cardiac magnetic resonance (MR) imaging for further evaluation of the atrial mass. Because of the suspected diagnosis, conventional radiography of the skeleton was performed. |
| Databáze: | OpenAIRE |
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