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[Cardiac sarcoidosis: diagnostic validation by endomyocardial biopsy and therapy with corticosteroids]
C Badorff1, P L Schwimmbeck, U Kühl
1Abteilung für Innere Medizin mit Schwerpunkt Kardiologie und Pneumologie, Universitätsklinikum Benjamin Franklin der Freien Universität Berlin.
Zeitschrift Fur Kardiologie
|January 1, 1997
Abstract:
A 66-year-old woman with pulmonary sarcoidosis had a 1.5-year history of congestive heart failure presenting as dilated cardiomyopathy. Transvenous endomyocardial biopsy specimens initially revealed lymphocytic myocarditis but subsequently showed a non-cesating giant-cell granuloma typical of Boeck's sarcoid. In addition to standard therapy the patient was given corticosteroids. This case illustrates the difficulties and importance of diagnosing cardiac sarcoidosis as a potentially treatable form of dilated cardiomyopathy.