심장사르코이드증에 의한 급사 - 1예 보고 -
Sudden Death from Cardiac Sarcoidosis - A Case Report -
이수경, 김선주, 금윤섭, 박태인, 이상한, 채종민, 곽정식,
소속 상세정보
이수경 ( Lee Soo-Kyoung )
경북대학교 의과대학 병리학교실
김선주 ( Kim Sun-Joo )
경북대학교 의과대학 병리학교실
금윤섭 ( Kum Yoon-Seup )
경북대학교 의과대학 병리학교실
박태인 ( Park Tae-In )
경북대학교 의과대학 병리학교실
이상한 ( Lee Sang-Han )
경북대학교 의과대학 병리학교실
채종민 ( Chae Jong-Min )
경북대학교 의과대학 병리학교실
곽정식 ( Kwak Jung-Sik )
경북대학교 의과대학 병리학교실
KMID : 0357920030370050358
Abstract
Sarcoidosis is a systemic granulomatous inflammation with an unknown cause. The commonly involved sites are the lymph nodes, lungs, skin, eyes, and heart. Although cardiac involvement in sarcoidosis is rarely detected clinically, it is reported in 20-50% of autopsied sarcoidosis patients. Cardiac involvement is one of the most severe conditions of sarcoidosis and may cause sudden death. We report a case of a sudden death due to a massive cardiac sarcoidosis in a 43-year-old man. The microscopic examination revealed an extensive noncaseating granulomatous inflammation in the mediastinal lymph nodes and the heart with no evidence of myocyte necrosis. A special stain and molecular studey excluded the possibility of other causes such as fungi or mycobacterium. The authors concluded that the cause of death was attributed to arrhythmia due to a cardiac sarcoidosis with massive involvement of the conduction system.
키워드
Sarcoidosis;Death;Sudden;Cardiac
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