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Lymphocytic Perimyocarditis Masquerading as Steroid-Dependent Recurrent Pericarditis
Eunice S Dugan1, Muhammad Majid1, Tahir S Kafil1
1Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
JACC. Case Reports
|September 18, 2023
Summary
Lymphocytic perimyocarditis can mimic recurrent pericarditis. Multimodal imaging and biopsy are crucial for diagnosing and treating resistant cases of this heart inflammation.
Area of Science:
- Cardiology
- Pathology
Background:
- Lymphocytic myocarditis is myocardial inflammation with viral, autoimmune, or idiopathic origins.
- Pericarditis involves inflammation of the pericardium, the sac surrounding the heart.
Observation:
- A case of lymphocytic perimyocarditis presented as steroid-dependent recurrent pericarditis.
- The patient's condition was resistant to standard treatments for pericarditis.
Findings:
- Multimodal cardiac imaging, including MRI and echocardiography, aided in diagnosis.
- Endomyocardial biopsy confirmed lymphocytic infiltration of the myocardium and pericardium.
Implications:
- This case highlights the importance of considering lymphocytic perimyocarditis in refractory pericarditis.
- Integrated diagnostic approaches are vital for accurate diagnosis and effective management of complex cardiac inflammatory conditions.
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