Abstract
This case report describes a 40-year-old male patient with severe cardiac failure due to eosinophilic granulomatosis with polyangiitis (EGPA) and myocarditis. The fast diagnostic approach with cardiac MRI (CMR) and immunosuppressive treatment with glucocorticoid and cyclophosphamide near-normalized the patient's cardiac function. Myocarditis due to EGPA is rare, however life-threatening, so a systematic approach and early CMR should be considered in patients with known asthma presenting with eosinophilia and cardiac involvement.
Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adult
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Churg-Strauss Syndrome / complications
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Churg-Strauss Syndrome / diagnosis
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Churg-Strauss Syndrome / drug therapy
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Cyclophosphamide / therapeutic use
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Granulomatosis with Polyangiitis* / complications
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Granulomatosis with Polyangiitis* / diagnosis
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Granulomatosis with Polyangiitis* / drug therapy
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Granulomatosis with Polyangiitis* / pathology
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Heart Failure / drug therapy
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Heart Failure / etiology
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Humans
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Immunosuppressive Agents / therapeutic use
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Magnetic Resonance Imaging
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Male
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Myocarditis* / diagnosis
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Myocarditis* / diagnostic imaging
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Myocarditis* / drug therapy
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Myocarditis* / etiology
Substances
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Cyclophosphamide
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Immunosuppressive Agents