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01-11-2015 | Case Report

Cardiac tamponade leading to the diagnosis of eosinophilic granulomatosis with polyangiitis (Churg−Strauss syndrome): a case report and review of the literature

Authors: Toshiyuki Yano, Shutaro Ishimura, Tetsuaki Furukawa, Masayuki Koyama, Marenao Tanaka, Shinya Shimoshige, Akiyoshi Hashimoto, Tetsuji Miura

Published in: Heart and Vessels | Issue 6/2015

Abstract

Eosinophilic granulomatosis with polyangiitis (EGPA), which was previously called Churg−Strauss syndrome, is a necrotizing systemic vasculitis of unknown cause accompanied by prominent eosinophilia. Cardiovascular complications, including eosinophilic myocarditis, are a major cause of mortality in this disorder. Acute pericarditis with slight pericardial effusion is a typical manifestation in EGPA, though hemodynamically significant pericardial effusion has been reported in a few cases. We report a case that initially presented with isolated cardiac tamponade, which was followed by systemic manifestations of EGPA over 3 weeks. Including the present case, previous EGPA cases with cardiac tamponade are reviewed to delineate its clinical characteristics.

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Title: Cardiac tamponade leading to the diagnosis of eosinophilic granulomatosis with polyangiitis (Churg−Strauss syndrome): a case report and review of the literature
Authors: Toshiyuki Yano
Shutaro Ishimura
Tetsuaki Furukawa
Masayuki Koyama
Marenao Tanaka
Shinya Shimoshige
Akiyoshi Hashimoto
Tetsuji Miura
Publication date: 01-11-2015
Publisher: Springer Japan
Published in: Heart and Vessels / Issue 6/2015
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI: https://doi.org/10.1007/s00380-014-0556-x

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Cardiac tamponade leading to the diagnosis of eosinophilic granulomatosis with polyangiitis (Churg−Strauss syndrome): a case report and review of the literature

Abstract

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Springer Medicine

Abstract

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