Successful treatment of myocardial sarcoidosis with steroids.
Myocardial involvement in sarcoidosis occurs in approximately twenty-seven percent of patients and may result in a grim prognosis. The diagnosis is mainly clinical and may be supplemented by echocardiography, thallium imaging, Gallium-67 scanning, and myocardial biopsy. The value of corticosteroid treatment is still not well-established and few patients have benefitted from cardiac transplantation. We present a case with suspected myocardial sarcoidosis and congestive heart failure who had dramatic response to steroid therapy on five weeks' followup.
Shammas
R L
RL
Department of Medicine, East Carolina University School of Medicine, Greenville, North Carolina 27858-4354.
Movahed
A
A
D000328:Adult; D001706:Biopsy; D002216:Captopril / Q000627:therapeutic use; D009202:Cardiomyopathies / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology; D004452:Echocardiography; D005260:Female; D006801:Humans; D009206:Myocardium / Q000473:pathology; D011241:Prednisone / Q000627:therapeutic use*; D012507:Sarcoidosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology
D002216:Captopril; D011241:Prednisone