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CASE REPORT
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 84-86

Lymphohistiocytic myocarditis: A rare case with imaging and pathological finding


1 Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India
2 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
3 Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Priya Jagia
Room No 10A, Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpcs.jpcs_57_19

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Lymphohistiocytic myocarditis (LCM) is a rare kind of inflammatory myocardial disease that presents with a wide variety of nonspecific clinical characteristics and requires a high index of suspicion for prompt diagnosis and treatment. The diagnosis of this rare entity is essential to start the immunosuppressive therapy to control the disease process at an early stage. Typical features of layered myocardial enhancement after gadolinium injection in cardiac magnetic resonance (CMR) can suggest the diagnosis of either granulomatous or lymphohistiocytic infiltration of the heart, and biopsy is often required to differentiate between these two rare entities. We present a case of middle-aged women with cardiac conduction block with typical features of LCM in CMR and biopsy.


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