A Case of Eosinophilic Myocarditis Complicated by Kimura's Disease(Eosinophilic Hyperplastic Lymphogranuloma)and Erythroderma

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This report describes a patient with eosinophilic myocarditis complicated by Kimura's disease(eosinophilic hyperplastic lymphogranuloma)and erythroderma. A 50-year-old man presented with a complaint of precordial pain. However, the only abnormal finding on examinatioin was eosinophilia(1617 eosinophils/μ1). Three years later, the patient developed chronic eczema, and was diagnosed with erythroderma posteczematosa. One year later, a tumor was detected in the right auricule, and a diagnosis of Kimura's disease was made, based on the biopsy findings. The patient developed progressive dyspnea 6 months later and was found to have cardiomegaly and a depressed left ventricular ejection fraction(17%). A diagnosis of eosinophilic myocarditis was made based on the results of a right ventricular endomyocardial biopsy. The eosinophilic myocarditis and erythrodrema were treated with steroids with improvement of both the eosinophilia and left ventricular function.
社団法人日本循環器学会の論文
1999-01-20