Improvement of Dilated Cardiomyopathy with Methylprednisolone in a Patient with Multiple Fibrosclerosis

Author(s):
Ibrahim  AltunIbrahim Altun1,*, Goksel  GuzGoksel Guz2, Fatih AkinFatih Akin1, Nuri  KoseNuri Kose1, Ilknur  AltunIlknur Altun3, Zeki Yuksel  GunaydinZeki Yuksel Gunaydin4, Cem  SahinCem Sahin5
1Mugla Sitki Kocman University, Faculty of Medicine, Department of Cardiology, Mugla, Turkey
2Istanbul University, Faculty of Medicine, Department of Cardiology, Istanbul, Turkey
3Mugla Sitki Kocman University, Faculty of Medicine, Department of Radiology, Mugla, Turkey
4Istanbul University, Faculty of Medicine, Department of Cardiology, Istanbul,, Turkey
5Mugla Sitki Kocman University, Faculty of Medicine, Department of Internal Medicine, Mugla, Turkey
*Corresponding Author: Corresponding author: Ibrahim Altun, Mugla Sitki Kocman University, Faculty of Medicine, Department of Cardiology, Mugla, Turkey Email: [email protected]

International Cardiovascular Research Journal:Vol. 8, issue 4; e11683
Published online:Dec 01, 2014
Article type:Case Report
Received:Apr 19, 2017
Accepted:Jul 28, 2014
How to Cite:Altun I, Guz G, Akin F, Kose N, Altun I, et al. Improvement of Dilated Cardiomyopathy with Methylprednisolone in a Patient with Multiple Fibrosclerosis. Int Cardiovasc Res J. 2017;8(4):e11683. doi:

Abstract

Multifocal fibrosclerosis is a rare syndrome of unknown cause that is characterized by fibrosis involving multiple organ systems. Definitive diagnosis can only be made based on biopsy findings. In this case, the biopsy specimen of the patient demonstrates pulmonary hyalinated granuloma or sclerosing mediastinitis. There are few reports of multiple fibrosclerosis with heart failure. Here, we reported a case of retroperitoneal fibrosis with massive mediastinal involvement extending to pleura and pericardium causing pleuro- pericardial effusion with dilated cardiomyopathy. Systolic dysfunction was improved and pericardial effusion disappeared with methylprednisolone treatment.

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© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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