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01121 Journal of Nara Medical Association >
Vol.48 No.6 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/406
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Title: | 末梢血中に好酸球増多を伴わず,拡張型心筋症様病態を呈した好酸球性心疾患の1例 |
Other Titles: | A CASE OF EOSINOPHILIC HEART DISEASE WITHOUT EOSINOPHILIC LEUCOCYTOSIS |
Authors: | 山本, 広光 上村, 史朗 友田, 芳夫 藤本, 伸一 松倉, 康夫 堀井, 学 坂口, 泰弘 橋本, 俊雄 土肥, 和紘 |
Keywords: | corticosteroid dilated cardiomyopathy endomyocardial biopsy eosinophilia ensinophilic heart disease |
Issue Date: | 31-Dec-1997 |
Publisher: | 奈良医学会 |
Citation: | 奈良医学雑誌 Vol.48 No.6 p.392-397 |
Abstract: | A 41-year-old woman was admitted to our hospital because of dyspnea.
Physical examination revealed pulmonary congestion, hepatomegaly, and bilateral pretibial
edema. She was diagnosed as having congestive heart failure. Blood examination revealed
eosinophilia nor acute viral infection. Chest X-ray film showed increase in the cardiac
silhouette and pulmonary cogestion in bilateral lung fields. Echocardiography revealed
severe and generalized hypokinesis in left ventricular wall motion, and enlargement of the
left atrial and ventricular dimensions, resembling dilated cardiomyopathy (DCM). En-
domyocardial biopsy revealed severe hypertrophy of cardiomyocytes and their disarray.
Moreover, eosinophils infiltrated into the fibrotic lesions around cardiomyocytes. As she
was diagnosed as having eosinophilic heart disease, she was given predonisolone, 30mg
daily. About 14 days after prednisolone therapy, dyspnea disappeared, and the cardiac
silhouette decreased. In addition, echocardiography showed an improvement in cardiac
function. We reported a rare case of eosinophilic heart disease whose systolic fuction
decreased as DCM, and did not exhibit the eosinophilia. |
URI: | http://hdl.handle.net/10564/406 |
ISSN: | 04695550 13450069 |
Appears in Collections: | Vol.48 No.6
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