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An 85-year-old female with bilateral hilar lymphadenopathy was diagnosed as sarcoidosis by biopsy of skin lesion, which was considered as erythema nodosum. She developed new-onset complete right bundle branch block. Further examination showed possible cardiac sarcoidosis. We had scheduled an elective pacemaker placement, but she developed complete AV block accompanied with transient loss of consciousness, and was admitted to ICU. Echocardiogram showed thinning of the basal portion of the ventricular septa and myocardial scintigraphy showed filling defect. Based on these data, cardiac sarcoidosis was diagnosed. She had a couple of episodes of ventricular tachycardias during the admission. An implantable cardioverter defibrillator was placed. Postoperatively, we started prednisolone at 30mg/day in line with the Japanese guidelines for sarcoidosis, and this resolved her symptoms. She has been asymptomatic and is being weaned from prednisolone.
- 日本サルコイドーシス/肉芽腫性疾患学会の論文
日本サルコイドーシス/肉芽腫性疾患学会 | 論文
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