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Cardiac involvement in eosinophilic granulomatosis with polyangiitis (churg-strauss disease) : the role of cardiovascular magnetic resonance
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Cardiac involvement in eosinophilic granulomatosis with polyangiitis (churg-strauss disease) : the role of cardiovascular magnetic resonance
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Journal Article
Cardiac involvement in eosinophilic granulomatosis with polyangiitis (churg-strauss disease) : the role of cardiovascular magnetic resonance
2021
Overview
Eosinophilic granulomatosis with polyangiitis (EGPA), previously known as Churg-Strauss disease,
is a rare vasculitis that affects small- to medium-sized vessels and has a propensity to involve the heart. Patients
with cardiac involvement have a poor prognosis and usually require immunosuppressive treatment along with
corticosteroids. Cardiovascular magnetic resonance (CMR) is a non-invasive diagnostic tool for detecting cardiac
involvement and guiding the management plan. We report a 39-year-old male patient with a known history of
bronchial asthma who was referred to the chest clinic at a tertiary hospital in 2019 for further assessment of
persistent lung parenchymal changes on chest computed tomography. Given the clinical context of the patient and
the radiological findings, EGPA was suspected and confirmed with a lung biopsy. CMR was performed for further
assessment, which confirmed cardiac involvement. The patient was started on prednisolone and azathioprine and
showed significant radiological and clinical improvement.
Publisher
Sultan Qaboos University, College of Medicine and Health Sciences,Sultan Qaboos University,Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences
Subject
