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KMID : 0388220100170030306
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Journal of the Korean Rheumatism Association
2010 Volume.17 No. 3 p.306 ~ p.310
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A Case of Churg-Strauss Syndrome with Endomyocardial Fibrosis
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Kim Hye-Won
Song Yeong-Wook
Chang Sung-Hae
Ryu Han-Hee
Song Ran
Lee Eun-Bong
Sohn Dae-Won
Kim You-Young
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Abstract
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Cardiac involvement is an important cause of mortality in patients with Churg-Strauss syndrome. The typical cardiac presentation of Churg-Strauss syndrome includes pericarditis, myocarditis, and cardiomyopathy. Endomyocardial fibrosis has rarely been described in patients with Churg-Strauss syndrome. We experienced a patient with Churg-Strauss syndrome who exhibited exertional dyspnea and endomyocardial fibrosis visualized as delayed enhancement on cardiac magnetic resonance imaging (MRI). After glucocorticoid treatment, the patient’s symptom resolved, and the eosinophil count decreased to normal. Nine months later, the delayed-enhanced lesion on the cardiac MRI nearly disappeared. Here, we report a case of endomyocardial fibrosis in a patient with Churg-Strauss syndrome with a literature review.
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KEYWORD
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Churg-Strauss syndrome, Endomyocardial fibrosis
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