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Cardiac tamponade leading to the diagnosis of eosinophilic granulomatosis with polyangiitis (Churg−Strauss syndrome): a case report and review of the literature

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Abstract

Eosinophilic granulomatosis with polyangiitis (EGPA), which was previously called Churg−Strauss syndrome, is a necrotizing systemic vasculitis of unknown cause accompanied by prominent eosinophilia. Cardiovascular complications, including eosinophilic myocarditis, are a major cause of mortality in this disorder. Acute pericarditis with slight pericardial effusion is a typical manifestation in EGPA, though hemodynamically significant pericardial effusion has been reported in a few cases. We report a case that initially presented with isolated cardiac tamponade, which was followed by systemic manifestations of EGPA over 3 weeks. Including the present case, previous EGPA cases with cardiac tamponade are reviewed to delineate its clinical characteristics.

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Authors and Affiliations

  1. Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-8543, Japan

    Toshiyuki Yano, Shutaro Ishimura, Tetsuaki Furukawa, Masayuki Koyama, Marenao Tanaka, Shinya Shimoshige, Akiyoshi Hashimoto & Tetsuji Miura

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  1. Toshiyuki Yano
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  2. Shutaro Ishimura
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  3. Tetsuaki Furukawa
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  4. Masayuki Koyama
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  5. Marenao Tanaka
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  6. Shinya Shimoshige
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  7. Akiyoshi Hashimoto
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  8. Tetsuji Miura
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Correspondence to Toshiyuki Yano.

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Yano, T., Ishimura, S., Furukawa, T. et al. Cardiac tamponade leading to the diagnosis of eosinophilic granulomatosis with polyangiitis (Churg−Strauss syndrome): a case report and review of the literature. Heart Vessels 30, 841–844 (2015). https://doi.org/10.1007/s00380-014-0556-x

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  • DOI: https://doi.org/10.1007/s00380-014-0556-x

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