CardiacSarcoidosis:TheChallengeofRadiologic-PathologicCorrelation
Cardiacsarcoidosisisararebutpotentiallyfataldisorderwithanonspecificspectrumofclinicalmanifestations,includingconductiondisorders,congestiveheartfailure,ventriculararrhythmias,andsuddencardiacdeath.Althoughearlytreatmenttoimprovemorbidityandmortalityisdesirable,sensitiveandaccuratedetectionofcardiacsarcoidosisremainsachallenge.Exceptforthehistopathologicfindingofnoncaseatinggranulomasinanendomyocardialbiopsyspecimen,mostdiagnostictestsarelimitedandnonspecificatbest.Therefore,thedecisiontoinitiatetreatmentisbasedlargelyonthepatient’sclinicalsymptomsandthecourseofthedisease,ratherthanhistologicconfirmation.Successfulrecognitionofcardiacsarcoidosisultimatelyrequiresrigorouscollaborationamongaclinician,radiologist,andpathologist.Advancedimagingmodalities,suchascardiacmagneticresonanceimagingandpositronemissiontomographywithfluorodeoxyglucose,havebe?白癜风能根治么?白癜风能治好不