Case Report : A Case of Acute Myocarditis as the Initial Presentation of Crohn`s Disease
의약학 > 내과학
( In Soo Oh ) , ( Chang Hwan Choi ) , ( Ji Hoon Park ) , ( Ju Wan Kim ) , ( Bong Ki Cha ) , ( Jae Hyuk Do ) , ( Sae Kyung Chang ) , ( Gui Young Kwon )
Gut and Liver 2012년, 제6권 제4호, 512~515페이지(총4페이지)
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    We experienced a case of acute myocarditis as the initial pre-sentation of Crohn`s disease. A 19-year-old woman was ad-mitted with impaired consciousness, shock, and respiratory failure. She had suffered from frequent diarrhea and abdom-inal pain for several years. Cardiac troponin I and creatine kinase-MB fraction levels were elevated to 5.32 and 16.66 ng/mL, respectively. A 12-lead electrocardiogram showed sinus tachycardia, and a chest radiograph revealed intersti-tial pulmonary edema. An echocardiogram showed dilated ventricles with akinesia of the basal to apical inferoseptal, anteroseptal, anterior, and inferior left ventricular walls and severely impaired systolic function. Intensive care with inotro-pic support was effective, and her clinical condition gradually improved. Two weeks later, a colonoscopy revealed ulceration with stenosis in the terminal ileum and multiple aphthous ulcers in the rectum. A biopsy of the rectum revealed non-caseating granulomatous inflammation. She was diagnosed with Crohn`s disease presenting with acute myocarditis. (Gut Liver 2012;6:512-515)
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