Korean J Med > Volume 75(4); 2008 > Article
The Korean Journal of Medicine 2008;75(4):484-487.
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
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
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)
Key Words: Hypereosinophilic syndrome; Pericardial effusion


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