Challenging Occam's Razor: An Unusual Combination of Sarcoidosis and Amyloidosis. The Value of Cardiac Magnetic Resonance Imaging in Infiltrative Cardiomyopathies

Can J Cardiol. 2017 Oct;33(10):1335.e9-1335.e11. doi: 10.1016/j.cjca.2017.07.004. Epub 2017 Jul 18.

Abstract

We describe the case of a 66-year old woman with the extremely rare combination of sarcoidosis and amyloidosis (light chain) and the important role of cardiovascular magnetic resonance imaging to differentiate between these 2 infiltrative diseases. Myocardial characterization with T1 mapping can improve disease detection, especially in overlap cases, and possibly obviate the need for cardiac biopsy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amyloidosis / complications
  • Amyloidosis / diagnosis*
  • Biopsy
  • Cardiomyopathies / diagnosis*
  • Diagnosis, Differential
  • Female
  • Humans
  • Magnetic Resonance Imaging, Cine / methods*
  • Myocardium / pathology*
  • Sarcoidosis / complications
  • Sarcoidosis / diagnosis*