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.
Department of Medicine, East Carolina University School of Medicine, Greenville, North Carolina 27858-4354.
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Shammas
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Movahed
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