Managing myocarditis in a patient with newly diagnosed dermatomyositis

Autor: Hannah Jane, Cheston, Cassim, Akhoon, Smita, Dutta Roy, Piero, Reynolds
Rok vydání: 2022
Předmět:
Zdroj: BMJ Case Reports. 15:e246989
ISSN: 1757-790X
DOI: 10.1136/bcr-2021-246989
Popis: A woman in her 20s presented with chest pain, dyspnoea, arthralgia, muscle weakness and skin discolouration. She was diagnosed with dermatomyositis. During her admission, she developed pleuritic chest pain and shortness of breath accompanied by a significant troponin I rise. Her echocardiogram showed a hyperdynamic left ventricle with a trivial pericardial effusion; there were no regional wall motion abnormalities. Gadolinium-diethylenetriaminepantaacetic-enhanced cardiac MRI showed extensive myocarditis. She was started on corticosteroids and azathioprine which led to an improvement of symptoms and biochemical markers.
Databáze: OpenAIRE