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Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium

A 76-year-old man developed repeated fulminant myocarditis in a short period, and immunosuppressive therapy was remarkably effective. A pathologic evaluation showed that inflammatory cells had infiltrated the myocardium. Not only invasion of inflammatory cells but also the formation of lymphoid foll...

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Autores principales: Omatsu, Takashi, Hayashi, Takaharu, Ichibori, Yasuhiro, Makino, Nobuhiko, Hirata, Akio, Yasumura, Yoshio, Hirayama, Atsushi, Higuchi, Yoshiharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759711/
https://www.ncbi.nlm.nih.gov/pubmed/32759592
http://dx.doi.org/10.2169/internalmedicine.5268-20
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author Omatsu, Takashi
Hayashi, Takaharu
Ichibori, Yasuhiro
Makino, Nobuhiko
Hirata, Akio
Yasumura, Yoshio
Hirayama, Atsushi
Higuchi, Yoshiharu
author_facet Omatsu, Takashi
Hayashi, Takaharu
Ichibori, Yasuhiro
Makino, Nobuhiko
Hirata, Akio
Yasumura, Yoshio
Hirayama, Atsushi
Higuchi, Yoshiharu
author_sort Omatsu, Takashi
collection PubMed
description A 76-year-old man developed repeated fulminant myocarditis in a short period, and immunosuppressive therapy was remarkably effective. A pathologic evaluation showed that inflammatory cells had infiltrated the myocardium. Not only invasion of inflammatory cells but also the formation of lymphoid follicle was noted. Chronic myocardial inflammation was proven, but cardiac sarcoidosis was negative according to the results of various examinations. This is the first report of recurrent autoimmune myocarditis with a lymphoid follicle in the myocardium. These findings may suggest a novel pathogenesis of myocarditis.
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spelling pubmed-77597112020-12-31 Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium Omatsu, Takashi Hayashi, Takaharu Ichibori, Yasuhiro Makino, Nobuhiko Hirata, Akio Yasumura, Yoshio Hirayama, Atsushi Higuchi, Yoshiharu Intern Med Case Report A 76-year-old man developed repeated fulminant myocarditis in a short period, and immunosuppressive therapy was remarkably effective. A pathologic evaluation showed that inflammatory cells had infiltrated the myocardium. Not only invasion of inflammatory cells but also the formation of lymphoid follicle was noted. Chronic myocardial inflammation was proven, but cardiac sarcoidosis was negative according to the results of various examinations. This is the first report of recurrent autoimmune myocarditis with a lymphoid follicle in the myocardium. These findings may suggest a novel pathogenesis of myocarditis. The Japanese Society of Internal Medicine 2020-08-04 2020-12-01 /pmc/articles/PMC7759711/ /pubmed/32759592 http://dx.doi.org/10.2169/internalmedicine.5268-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Omatsu, Takashi
Hayashi, Takaharu
Ichibori, Yasuhiro
Makino, Nobuhiko
Hirata, Akio
Yasumura, Yoshio
Hirayama, Atsushi
Higuchi, Yoshiharu
Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium
title Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium
title_full Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium
title_fullStr Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium
title_full_unstemmed Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium
title_short Recurrent Fulminant Myocarditis Accompanied by Lymphoid Follicle Formation in Myocardium
title_sort recurrent fulminant myocarditis accompanied by lymphoid follicle formation in myocardium
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759711/
https://www.ncbi.nlm.nih.gov/pubmed/32759592
http://dx.doi.org/10.2169/internalmedicine.5268-20
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