A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus
Sarcoidosis is a rare cause of cardiomyopathy and can be missed when there is no pulmonary involvement. We present the case of a 55-year-old woman with isolated cardiac sarcoidosis who presented with symptoms of worsening intermittent dyspnea, weight gain, and lower extremity swelling. Cardiac evalu...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2022-12-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0762 |
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| author | Vasilios Katsadouros Duncan Vincent |
| author_facet | Vasilios Katsadouros Duncan Vincent |
| author_sort | Vasilios Katsadouros |
| collection | DOAJ |
| description | Sarcoidosis is a rare cause of cardiomyopathy and can be missed when there is no pulmonary involvement. We present the case of a 55-year-old woman with isolated cardiac sarcoidosis who presented with symptoms of worsening intermittent dyspnea, weight gain, and lower extremity swelling. Cardiac evaluation showed a nonischemic cardiomyopathy secondary to an inflammatory cause. Cardiac magnetic resonance and positron emission tomography scans were performed that led to the diagnosis of isolated cardiac sarcoidosis. Recent updates in diagnostic criteria have allowed the use of imaging modalities alone to confirm the diagnosis in place of biopsy. |
| format | Article |
| id | doaj-art-e38c1daba1ba4e24ade2f876161cb2ca |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-e38c1daba1ba4e24ade2f876161cb2ca2025-08-20T02:11:46ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-12-0111010.7326/aimcc.2022.0762A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic ConsensusVasilios Katsadouros0Duncan Vincent11Internal Medicine Teaching Service, Cone Health, Greensboro, North Carolina1Internal Medicine Teaching Service, Cone Health, Greensboro, North CarolinaSarcoidosis is a rare cause of cardiomyopathy and can be missed when there is no pulmonary involvement. We present the case of a 55-year-old woman with isolated cardiac sarcoidosis who presented with symptoms of worsening intermittent dyspnea, weight gain, and lower extremity swelling. Cardiac evaluation showed a nonischemic cardiomyopathy secondary to an inflammatory cause. Cardiac magnetic resonance and positron emission tomography scans were performed that led to the diagnosis of isolated cardiac sarcoidosis. Recent updates in diagnostic criteria have allowed the use of imaging modalities alone to confirm the diagnosis in place of biopsy.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0762 |
| spellingShingle | Vasilios Katsadouros Duncan Vincent A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus Annals of Internal Medicine: Clinical Cases |
| title | A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus |
| title_full | A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus |
| title_fullStr | A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus |
| title_full_unstemmed | A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus |
| title_short | A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus |
| title_sort | case of isolated cardiac sarcoidosis an underdiagnosed disease with little diagnostic consensus |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0762 |
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