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Rare disease
CASE REPORT
Churg-Strauss vasculitis presenting with steroid-responsive left ventricular cardiac mass
  1. Sumaiah Jamal Alarfaj1,
  2. Rabah Al-Mehisen2,
  3. Imad Elhag3,
  4. Nayef Mohammed Kazzaz4
  1. 1Department of Pharmacy Practice, College of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
  2. 2Division of Cardiology, Department of Internal Medicine, Security Forces Hospital Program, Riyadh, Saudi Arabia
  3. 3Laboratory and Blood Bank, Security Forces Hospital Program, Riyadh, Saudi Arabia
  4. 4Security Forces Hospital Program, Division of Rheumatology, Department of Internal Medicine, Riyadh, Saudi Arabia
  1. Correspondence to Dr Nayef Mohammed Kazzaz, nkazzaz86{at}gmail.com

Summary

A 35-year-old black Saudi man, with a known case of bronchial asthma and allergic rhinitis since childhood, presented with joint pain and swelling, orthopnoea, paroxysmal nocturnal dyspnoea and lower extremity oedema. On examination, we found jugular venous distension, bilateral basal crepitation, wheezing and diffuse synovitis. Investigations were notable for peripheral blood eosinophilia, pericardial effusion and elongated structure in the left ventricular outflow tract on echocardiography, mediastinal and hilar lymphadenopathy and right upper lobe infiltrate on high-resolution CT scan. Pulmonary infiltrate biopsy confirmed eosinophilic vasculitis. Intracardiac mass resolved shortly after pulse steroids indicating an inflammatory mass.

  • rheumatology
  • vasculitis

https://doi.org/10.1136/bcr-2018-226052

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    Footnotes

    • Contributors SJA, RA-M, IE and NMK have contributed to the conception and design, acquisition of the data or analysis and interpretation of the data and are also involved in drafting the article or revising it critically for important intellectual content and in the final approval of the version published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.