KMID : 1103720120660020133
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Journal of the Korean Society of Radiology 2012 Volume.66 No. 2 p.133 ~ p.137
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Churg-Strauss Syndrome with Cardiac Involvement: A Case Report with CT and MRI Findings
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Lim Seong-Joo
Jo Young-Jun Kim Keum-Won Hwang Cheol-Mok Kim Dae-Ho Choi Eu-Gene
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Abstract
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This is a case report of Churg-Strauss Syndrome (CSS) associated with cardiac involvement which is demonstrated in chest CT and cardiac MRI (CMR) without specific cardiac symptoms. A 32-year-old woman had a 3-year history of bronchial asthma, chronic sinusitis, and otitis media. The patient had various typical findings of CSS. The patient had no specific cardiac symptoms or signs such as chest pain, palpitations, syncope, or murmur, but she had diffuse low attenuation lesions in the inner wall of the left ventricle (LV) in contrast-enhanced CT. This corresponded to the area of subendocardial hyperenhancement in delayed contrast-enhanced CMR images. She was treated with steroids for 2 months. Follow-up delayed contrast-enhanced CMR of the LV showed a decrease in the size of the subendocardial enhancement area, and she had no symptoms. Therefore, the radiologist and clinician both should pay careful attention to observe possible cardiac involvement in case of CSS.
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KEYWORD
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Churg-Strauss Syndrome, CT, Magnetic Resonance, Cardiomyopathy, Lung Abnormalities
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