JACC: Case Reports (Sep 2023)
Lymphocytic Perimyocarditis Masquerading as Steroid-Dependent Recurrent Pericarditis
- Eunice S. Dugan, MD,
- Muhammad Majid, MD,
- Tahir S. Kafil, MD,
- Bahaa Abdelghaffar, MD,
- Zachary S. Yaker, MD,
- Ashwin Kumar, MD,
- Ziad Taimeh, MD,
- Carmela Tan, MD,
- Paul C. Cremer, MD,
- Allan L. Klein, MD
Affiliations
- Eunice S. Dugan, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA
- Muhammad Majid, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA
- Tahir S. Kafil, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA
- Bahaa Abdelghaffar, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA
- Zachary S. Yaker, MD
- Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA
- Ashwin Kumar, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA; Department of Internal Medicine, MedStar Georgetown University Hospital, Washington, DC, USA
- Ziad Taimeh, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA
- Carmela Tan, MD
- Department of Pathology, Cleveland Clinic, Cleveland, Ohio, USA
- Paul C. Cremer, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA
- Allan L. Klein, MD
- Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA; Address for correspondence: Dr Allan L. Klein, Center for Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195 USA.
- Journal volume & issue
-
Vol. 21
p. 101960
Abstract
Lymphocytic myocarditis is a pattern of myocardial inflammation typically associated with viral, autoimmune, or idiopathic causes. We present a case of lymphocytic perimyocarditis masquerading as steroid-dependent recurrent pericarditis. This case shows the advantages of using multimodal cardiac imaging and endomyocardial biopsy in clarifying diagnosis in treatment-resistant cases. (Level of Difficulty: Advanced.)
