Sarcoidosis Manifesting as Cardiac Sarcoidosis and Massive Splenomegaly

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概要

• 論文の詳細を見る

• Sarcoidosis is a multisystemic granulomatous disease of unknown etiology. We report an unusual case of sarcoidosis in a woman presenting with cardiac sarcoidosis and massive splenomegaly with a familial history of cardiac sarcoidosis. Cardiac sarcoidosis was diagnosed based on electrocardiogram, echocardiogram, 18F-fluoro-2-deoxyglucose positron emission tomography (18F-FDG-PET) and skin histological findings. We performed splenectomy to rule out malignant lymphoma, and histological findings confirmed sarcoidosis. After splenectomy, we initiated prednisolone therapy. After 20 months of diagnosis, she was symptom free. Echocardiography and 18F-FDG-PET may be a key diagnostic tool and prednisolone therapy may be safe, effective, and feasible for cardiac sarcoidosis.

著者

• KATO Johji

  Frontier Science Research Center

• Yoshimura Yuki

  Department of Cardiology, Kawasaki Medical School Hospital

• Imamura Takuroh

  Department Of Internal Medicine Circulatory And Body Fluid Regulation University Of Miyazaki

• Shimao Yoshiya

  Department Of Pathology Miyazaki Medical College

• Fukunaga Takashi

  Department Of Cardiology Miyazaki Prefecture Miyazaki Hospital

• Ueda Akira

  Department Of Applied Mathematics And Physics Faculty Of Engineering Kyoto University

• Toyoda Kiyokazu

  Department Of Surgery Miyazaki Prefectural General Hospital

• Kitamura Kazuo

  Department Of Applied Mathematics Osaka Kyoiku University

• Kawano Sayaka

  Department Of Internal Medicine Miyazaki Prefectural Miyazaki Hospital

• Kawano Noriaki

  Department Of Hematology Harasanshin Hospital

• Masuyama Hiroyuki

  Department of Cardiology, Miyazaki Prefectural Hospital, Japan

• Mihara Kenroh

  Clinical Laboratory, Miyazaki Prefectural Hospital, Japan

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