title: Cardiac sarcoidosis concealed by arrhythmogenic right ventricular dysplasia/cardiomyopathy.
abstract: 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.
authors.affiliation: Department of Cardiology, University Hospital of Munich, Munich, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Greif
authors.forename: Paraskevi
authors.initials: P
authors.lastname: Petrakopoulou
authors.forename: Max
authors.initials: M
authors.lastname: Weiss
authors.forename: Christopher
authors.initials: C
authors.lastname: Reithmann
authors.forename: Bruno
authors.initials: B
authors.lastname: Reichart
authors.forename: Michael
authors.initials: M
authors.lastname: Nabauer
authors.forename: Gerhard
authors.initials: G
authors.lastname: Steinbeck
mesh_terms: 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
chemical_list: D005938:Glucocorticoids; D007166:Immunosuppressive Agents