:In Comparison with Various Modalities in Imaging
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概要
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The patient was a 44 year old woman showing BHL on chest X-ray and uveitis. Lymph node biopsy performed by mediastinoscopy showed noncaseating epithelioid cell granuloma. From these data she was diagnosed as sarcoidosis. At first, she was suspected of having cardiac sarcoidosis from ECG findings of CRBBB and frequent VPCs. However, 67Ga scintigram and UCG examination did not definitely indicate that there was cardiac involvement. After complaining of exertional breathlessness from November 2005, we examined her further. UCG examination revealed that the interventricular septum had become thin and left ventricular wall motion had diffusely decreased. The left ventricular ejection fraction had fallen to 38%. Furthermore, abnormal cardiac accumulation of FDG and Gd-enhanced delayed MRI imaging was positive. So, we were able to make a definite diagnosis of cardiac sarcoidosis. We began to prescribe prednisolone of 30m/day. The percentage of cardiac sarcoidosis made by clinical diagnostic criteria is less than 5%, but cardiac sarcoidosis accounts for more than 50% of fatalities in which sarcoidosis is the main cause of death. Therefore, an early diagnosis of cardiac sarcoidosis is indispensable and treatment by steroids has to be begun as soon as possible. Recently various modalities in imaging have made remarkable progress. We discuss here the usefulness and possibilities for early detection of cardiac sarcoidosis.
- 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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