Miocarditis extensa en una granulomatosis con poliangeítis (Wegener)

  1. Ybarra-Falcón, María Cristina de 1
  2. Cabezón-Villalba, Gonzalo 1
  3. García-Gómez, Mario 1
  4. López-Díaz, Javier 1
  5. San Román-Calvar, José Alberto
  1. 1 Servicio de Cardiología, Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario de Valladolid, Valladolid. CIBER de Enfermedades Cardiovasculares, Madrid, España
Journal:
Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

ISSN: 2530-0792

Year of publication: 2019

Issue Title: Spanish Journal of Case Records in Internal Medicine

Volume: 4

Issue: 3

Pages: 123-125

Type: Article

DOI: 10.32818/RECCMI.A4N3A8 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

Abstract

A 32 years-old woman, history of chronic rhinitis, rhinosinusal polyposis and eutocic delivery three weeks before, admitted to Cardiology for heart failure with elevated troponins and NT-proBNP. Bilateral and symmetric pulmonary nodules were detected in a thoracic CT scan. Echocardiography and cardiac magnetic resonance confirmed the presence of myocarditis. A biopsy of rhinosinusal polyps is compatible with granulomatosis with polyangiitis. In addition, mild renal involvement is detected due to the presence of microscopic hematuria and leukocyturia. She required treatment with corticosteroids and cyclophosphamide, after which her ventricular dysfunction symptoms improved.

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