[Cardiac sarcoidosis: diagnostic validation by endomyocardial biopsy and therapy with corticosteroids].
A 66-year-old woman with pulmonary sarcoidosis had a 1.5-year history of congestive heart failure presenting as dilated cardiomyopathy. Transvenous endomyocardial biopsy specimens initially revealed lymphocytic myocarditis but subsequently showed a non-cesating giant-cell granuloma typical of Boeck's sarcoid. In addition to standard therapy the patient was given corticosteroids. This case illustrates the difficulties and importance of diagnosing cardiac sarcoidosis as a potentially treatable form of dilated cardiomyopathy.
Badorff
C
C
Abteilung für Innere Medizin mit Schwerpunkt Kardiologie und Pneumologie, Universitätsklinikum Benjamin Franklin der Freien Universität Berlin.
Schwimmbeck
P L
PL
Kühl
U
U
Gerhold
M
M
Stein
H
H
Schultheiss
H P
HP
D000368:Aged; D001706:Biopsy; D002311:Cardiomyopathy, Dilated / Q000188:drug therapy / Q000473:pathology*; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004699:Endocardium / Q000473:pathology*; D005260:Female; D006801:Humans; D009206:Myocardium / Q000473:pathology*; D011239:Prednisolone / Q000008:administration & dosage; D012507:Sarcoidosis / Q000188:drug therapy / Q000473:pathology*; D017565:Sarcoidosis, Pulmonary / Q000188:drug therapy / Q000473:pathology
D011239:Prednisolone