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From Giant Cells to Granulomas: A Diagnostic Odyssey in Inflammatory Cardiomyopathy

Year: 2025
Type: article
Abstract: Giant cell myocarditis (GCM) and cardiac sarcoidosis (CS) are rare, inflammatory cardiomyopathies with overlapping presentations but differing treatments and prognoses. We present a case of a middle-aged woman diagnosed initially with GCM based on clinical presentation and endomyocardial biopsy. After unexpected clinical improvement and persistent mediastinal lymphadenopathy, lymph node biopsy revealed non-necrotizing granulomas, leading to a revised diagnosis of CS. This case highlights the diagnostic challenges presented by inflammatory cardiomyopathies and the importance of reassessing initial diagnoses in the context of evolving clinical and imaging findings.
Source: CJC Open
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $2,590
OpenAlex ID: W6903101431
FWCI:
Cites: 5
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