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The Korean Journal of Medicine 2008;75(4): 484-487.
증례: 심장의 벽운동 이상과 심낭삼출로 발현된 과호산구 증가 증후군 1예
이현기 . 이상진 . 배윤정 . 박찬선 . 김태범 . 조유숙 . 문희범, Sang Jin Lee, Yun-Jeong Bae, Chan Sun Park, Tae-Bum Kim, You Sook Cho, Hee-Bom Moon
A case of idiopathic hypereosinophilic syndrome manifested as regional wall motion
Hyun Kee Lee, Sang Jin Lee, Yun-Jeong Bae, Chan Sun Park, Tae-Bum Kim, You Sook Cho, Hee-Bom Moon
Division of Pulmonary and Critical Care Medicine, Departments of Medicine and Radiology1, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
ABSTRACT
Idiopathic hypereosinophilic syndrome is characterized by unexplained blood eosinophilia > 1500/mm3 for more than 6 months and eosinophilic infiltration of several organs. A major source of the morbidity and mortality of this syndrome is the associated cardiac involvement. The typical cardiac involvement includes endocardial fibrosis and mural thrombus. We report a case of idiopathic hypereosinophilic syndrome manifested as multiple regional wall motion abnormalities and moderate pericardial effusion on transthoracic echocardiography that was successfully treated by pericardiostomy and steroid therapy. (Korean J Med 75:484-487, 2008)
Keywords: Hypereosinophilic syndrome; Pericardial effusion
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