Cardiac sarcoidosis is an insidious condition with a highly variable clinical presentation that often mimics other diseases. Its diagnosis is particularly challenging, requiring a high index of suspicion and a comprehensive approach. Multimodality imaging plays a critical role in differentiating it from other conditions. We present a patient with cardiac sarcoidosis who also had concomitant coronary artery disease and colon cancer. The optimal therapeutic strategy for cardiac sarcoidosis remains uncertain. However, late gadolinium enhancement, a robust predictor of arrhythmic risk is crucial in guiding treatment decisions. This case report illustrates the risk of oversimplifying complex clinical scenarios by attributing signs and symptoms to a single disease, particularly in young, otherwise apparently healthy individuals. In such cases, clinicians must include rare diseases in their differential diagnosis.

The Great Mimicker Unmasked: A Case Report of Cardiac Sarcoidosis Hidden by Myocardial Infarction and Colon Cancer

Alberti, Mattia;Barletta, Valentina;Castiglione, Vincenzo;Bort, Ida Rebecca;Del Carlo, Chiara;Tavoni, Antonio;Grigoratos, Chrysanthos;De Caterina, Raffaele;Aquaro, Giovanni Donato
2024-01-01

Abstract

Cardiac sarcoidosis is an insidious condition with a highly variable clinical presentation that often mimics other diseases. Its diagnosis is particularly challenging, requiring a high index of suspicion and a comprehensive approach. Multimodality imaging plays a critical role in differentiating it from other conditions. We present a patient with cardiac sarcoidosis who also had concomitant coronary artery disease and colon cancer. The optimal therapeutic strategy for cardiac sarcoidosis remains uncertain. However, late gadolinium enhancement, a robust predictor of arrhythmic risk is crucial in guiding treatment decisions. This case report illustrates the risk of oversimplifying complex clinical scenarios by attributing signs and symptoms to a single disease, particularly in young, otherwise apparently healthy individuals. In such cases, clinicians must include rare diseases in their differential diagnosis.
2024
Alberti, Mattia; Biondi, Filippo; Barletta, Valentina; Castiglione, Vincenzo; Bort, Ida Rebecca; Del Carlo, Chiara; Tavoni, Antonio; Grigoratos, Chrys...espandi
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11568/1305049
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