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Updated: Feb 3, 2026
06:34
Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
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Churg-Strauss vasculitis presenting with steroid-responsive left ventricular cardiac mass
Sumaiah Jamal Alarfaj1, Rabah Al-Mehisen2, Imad Elhag3
1Department of Pharmacy Practice, College of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
BMJ Case Reports
|October 20, 2018
Summary
A case study reveals eosinophilic vasculitis in a Saudi man with asthma and allergies. Prompt steroid treatment resolved an intracardiac mass, suggesting an inflammatory cause.
Area of Science:
- Cardiology
- Pulmonology
- Rheumatology
Background:
- This case highlights a rare presentation of eosinophilic vasculitis.
- The patient had a history of bronchial asthma and allergic rhinitis.
Observation:
- The patient presented with joint pain, swelling, and respiratory distress.
- Clinical examination revealed signs of heart failure and synovitis.
- Investigations showed peripheral blood eosinophilia, pericardial effusion, and lung infiltrates.
Findings:
- Echocardiography identified an elongated structure in the left ventricular outflow tract.
- High-resolution CT scan revealed mediastinal lymphadenopathy and a right upper lobe infiltrate.
- Pulmonary infiltrate biopsy confirmed eosinophilic vasculitis.
Implications:
- The intracardiac mass resolved rapidly with pulse steroid therapy.
- This suggests the mass was inflammatory, linked to eosinophilic vasculitis.
- Early diagnosis and treatment are crucial for managing this condition.
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