心不全を呈し，心筋シンチで心筋障害を証明しえた強皮症の１例

• 小杉 依子

  青梅市立総合病院内科

• 桜井 徹志

  青梅市立総合病院内科

書誌事項

タイトル別名

• A case of scleroderma with congestive heart failure of which myocardial injury was detected by Scintigraphy.

抄録

A 38-year-old woman with systemic sclerosis was admitted to our hospital because of dyspnea and finger ulcer. Chest X-p showed cardiomegaly and pleural effusion. Echocardiogram revealed diffuse hypokinesis of the left ventricle (ejection fraction 32%). Thallium scintigraphy demonstrated patchy perfusion defects. She was diagnosed as having congestive heart failure due to myocardial fibrosis, and was treated successfully with diuretics, cardiotonics, and β-blocker. Scintigraphy maybe useful to detect an early cardiac involvement in patients with systemic sclerosis, and intense pharmacological treatment might be started even before the patient develops symptoms.

収録刊行物

• 日本臨床免疫学会会誌

  日本臨床免疫学会会誌 26 (3), 121-126, 2003

  日本臨床免疫学会

キーワード

• scleroderma
• cardiac involvement
• scintigraphy
• β-blocker

詳細情報

• CRID: 1390001204650026496
• NII論文ID: 130000849567
• NII書誌ID: AN00357971
• DOI: 10.2177/jsci.26.121
• ISSN: 13497413
• ISSN: 09114300
• PubMed: 12868130
• Web Site: http://www.jstage.jst.go.jp/article/jsci1978/26/3/26_3_121/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2003287548
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可