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Churg-Strauss 증후군에서 동반된 심근내막섬유증
김혜원 ( Hye Won Kim ),송영욱 ( Yeong Wook Song ),장성혜 ( Sung Hae Chang ),류한희 ( Han Hee Ryu ),송란 ( Ran Song ),이은봉 ( Eun Bong Lee ),손대원 ( Dae Won Son ),김유영 ( You Young Kim ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.3
Cardiac involvement is an important cause of mortality in patients with Churg-Strauss syndrome. The typical cardiac presentation of Churg-Strauss syndrome includes pericarditis, myocarditis, and cardiomyopathy. Endomyocardial fibrosis has rarely been described in patients with Churg-Strauss syndrome. We experienced a patient with Churg-Strauss syndrome who exhibited exertional dyspnea and endomyocardial fibrosis visualized as delayed enhancement on cardiac magnetic resonance imaging (MRI). After glucocorticoid treatment, the patient`s symptom resolved, and the eosinophil count decreased to normal. Nine months later, the delayed-enhanced lesion on the cardiac MRI nearly disappeared. Here, we report a case of endomyocardial fibrosis in a patient with Churg-Strauss syndrome with a literature review.