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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2020
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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. |
format | Online Article Text |
id | pubmed-7759711 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
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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