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Successful Reduction of Endomyocardial Fibrosis in a Patient with Idiopathic Hypereosinophilic Syndrome

A Case Report

Division of Internal Medicine, Sant'Orsola Hospital

Cesare Rusconi

Division of Cardiology, Sant'Orsola Hospital, Brescia

Pompilio Faggiano

Division of Cardiology, Sant'Orsola Hospital, Brescia

Giovanna Lanzani

Division of Internal Medicine, Sant'Orsola Hospital

Carlo Campana

Division of Cardiology, University of Pavia

Eloisa Arbustini

Institute of Pathology, University of Pavia, Italy

A case of endomyocardial fibrosis in a patient with idiopathic hypereosinophilic syndrome is reported and discussed. The authors draw attention to the importance of both echocar diography (two-dimensional and Doppler) and nuclear magnetic resonance in the detection of cardiac involvement due to this rare pathology. Moreover, these imaging techniques appear to be valuable in the evaluation of effects of medical treatment. Therapy with corticosteroids alone has shown no reliable effectiveness in reducing the absolute eosinophil count. A combined immunosuppressive treatment with use of hydrox yurea is required.

Angiology, Vol. 46, No. 4, 345-351 (1995)
DOI: 10.1177/000331979504600410


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