Recurrent Cardiac Sarcoid in a Post-Heart Transplant Patient: A Case Report

Sarcoidosis is defined by the development of granulomas, which affect virtually any organ. While the pathogenesis is poorly understood, treatment consists of immunosuppression, and in the case of cardiac sarcoid, may require a heart transplant. This report describes a patient with cardiac sarcoid wh...

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Bibliographic Details
Main Authors: Bridget Worth, Gitanjali Lobo, Tamika Webb-Detiege
Format: Article
Language:English
Published: American College of Physicians 2024-06-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0063
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Summary:Sarcoidosis is defined by the development of granulomas, which affect virtually any organ. While the pathogenesis is poorly understood, treatment consists of immunosuppression, and in the case of cardiac sarcoid, may require a heart transplant. This report describes a patient with cardiac sarcoid who developed a disease recurrence 11 years after heart transplantation. This manifestation in itself is rare; however, this is also the longest reported span of time before recurrence. Her disease is refractory to prednisone and mycophenolic acid. Further studies need to be conducted regarding the treatment of sarcoid recurrence, as immunosuppression is very difficult in these patients.
ISSN:2767-7664