Pleural and pericardial effusions with cardiac conduction system and myocardial involvement: A rare presentation of sarcoidosis

Radiology Case Reports

article

Christine Vincent¹  Oleg Reznik¹  Joel Raju¹  Alina Popa¹ 

[1] Department of Internal Medicine, WellSpan York Hospital

关键词: Sarcoid;    Heart block;    Cardiomyopathy;    Pericardial effusion;    Atrial flutter;    Granuloma;   

DOI  :  10.1016/j.radcr.2022.09.039

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Sarcoidosis is a granulomatous immune disorder that can infiltrate many organ systems. When the cardiac system is involved, the myocardium and conduction system are frequently affected. We report the case of a patient presenting with complete heart block following cardioversion from atrial flutter accompanied by pleural and pericardial involvement whose diagnosis of sarcoidosis was subsequently made on pathological examination. Pericardial effusion and pleural effusion are rare manifestations of sarcoid, and the both of them happening simultaneously (less than 10 case reports) in conjunction with cardiac conduction system and myocardial involvement are almost nonexistent in the literature (one case report). As cardiac involvement in sarcoid can drastically increase the mortality, it is important to be vigilant for the diverse manifestations of cardiac involvement in all patients for which there is clinical suspicion of sarcoid.

【 授权许可】

CC BY|CC BY-NC-ND