[Cardiac sarcoidosis with multinucleated giant cells detected in endomyocardial biopsy specimens: report of 3 cases].
This is a report of 3 cases of cardiac sarcoidosis. None of the 3 patients had other overt systemic involvement. Multinucleated giant cells and non-caseating epithelial cell granulomas with small lymphocytic infiltrations were detected in the endomyocardial biopsy specimen. Some focal left ventricular wall motion abnormalities were detected by echocardiography and angiography in all 3 patients. Paroxysmal ventricular tachycardia and multifocal ventricular premature complexes were observed by Holter 24-hour electrocardiography in all 3 patients. Two of the 3 patients did not receive corticosteroids, but remaining patient is on a regimen of corticosteroid.
First Department of Internal Medicine, Shiga University of Medical Science, Ohtsu.
S
S
Sakoda
T
T
Fukuhara
K
K
Mitsunami
M
M
Kinoshita
D000328:Adult; D001706:Biopsy; D009202:Cardiomyopathies / Q000000981:diagnostic imaging / Q000473:pathology*; D004452:Echocardiography; D004699:Endocardium / Q000473:pathology*; D005260:Female; D015726:Giant Cells / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*; D012507:Sarcoidosis / Q000000981:diagnostic imaging / Q000473:pathology*