Cardiac sarcoidosis concealed by arrhythmogenic right ventricular dysplasia/cardiomyopathy.
BACKGROUND
A 37-year-old male with a history of palpitations and ventricular tachycardia was diagnosed with arrhythmogenic right ventricular dysplasia/cardiomyopathy on the basis of clinical assessment, electrocardiography and echocardiography. Over the following 3 years the patient progressed to end-stage heart failure and eventually underwent heart transplantation. Histological analysis of the explanted heart revealed the presence of numerous noncaseating granulomas.


METHODS
Electrocardiography, echocardiography, 24 h Holter monitoring, cardiac MRI, coronary angiography, endomyocardial biopsy, exercise testing, electrophysiological study, laboratory examinations and histological examination of the explanted heart.


METHODS
Cardiac sarcoidosis.


RESULTS
Immunosupressive and corticosteroid therapy. Routine endomyocardial biopsy is planned.
Greif
Martin
M
Department of Cardiology, University Hospital of Munich, Munich, Germany.
Petrakopoulou
Paraskevi
P
Weiss
Max
M
Reithmann
Christopher
C
Reichart
Bruno
B
Nabauer
Michael
M
Steinbeck
Gerhard
G
D000328:Adult; D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001706:Biopsy; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D015716:Electrocardiography, Ambulatory; D005080:Exercise Test; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D016027:Heart Transplantation / Q000379:methods; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D005938:Glucocorticoids; D007166:Immunosuppressive Agents