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Pleural and pericardial effusions with cardiac conduction system and myocardial involvement: A rare presentation of sarcoidosis.
Vincent, Christine; Reznik, Oleg; Raju, Joel; Popa, Alina.
  • Vincent C; Department of Internal Medicine, WellSpan York Hospital, 1001 S George St, York, PA 17403, USA.
  • Reznik O; Department of Internal Medicine, WellSpan York Hospital, 1001 S George St, York, PA 17403, USA.
  • Raju J; Department of Internal Medicine, WellSpan York Hospital, 1001 S George St, York, PA 17403, USA.
  • Popa A; Department of Internal Medicine, WellSpan York Hospital, 1001 S George St, York, PA 17403, USA.
Radiol Case Rep ; 17(12): 4584-4588, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2061805
ABSTRACT
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.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Radiol Case Rep Year: 2022 Document Type: Article Affiliation country: J.radcr.2022.09.039

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Radiol Case Rep Year: 2022 Document Type: Article Affiliation country: J.radcr.2022.09.039