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Myocardial tissue changes detected by cardiac MRI in a patient with suspected systemic sarcoidosis

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Abstract

Background

The role of cardiac magnetic resonance imaging in the early management of chronic cardiac inflammatory conditions is growing. Our case enlightens the benefit of quantitative mapping in the monitoring and treatment guidance in systemic sarcoidosis.

Case presentation

We report about a 29-year-old man with an ongoing dyspnea and bihilar lymphadenopathy, suggesting sarcoidosis. Cardiac magnetic resonance showed high mapping values, but no scarring. In follow-ups, cardiac remodeling was noted; cardioprotective treatment normalized cardiac function and mapping markers. Definitive diagnosis was achieved in extracardiac lymphatic tissue during a relapse.

Conclusion

This case shows the role that mapping markers can play in the detection and treatment at early stage of systemic sarcoidosis.
Title
Myocardial tissue changes detected by cardiac MRI in a patient with suspected systemic sarcoidosis
Authors
Byambasuren Vanchin
Mame Madjiguène Ka
Christophe T. Arendt
Felicitas Escher
Eike Nagel
Valentina O. Puntmann
Publication date
11-03-2023
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2023
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-023-03133-x
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Image Credits
Representative CMR long axis PSIR images/© @2023 Vanchin,et al, Case-Based Insights teaser image/© Eva Künzel