XXXX with multinucleated giant cells detected in biopsy specimens.

@entity1 @entity3329 @entity32 @entity712 @entity1289 @entity82 @entity713 @entity4 @entity908 @entity384 @entity299 @entity1053 @entity2401 @entity272 @entity1168 @entity1851
A 42-year-old @entity1 was transferred to our hospital for evaluation of @entity1168 with a complete @entity713 . Her pulse was 41 regular beats/min with blood pressure 166/92 mmHg. There were no @entity272 , @entity4 , or @entity3329 . The white blood cell count was 6300/mm3. The serum glutamic oxaloacetic transaminase was 21 IU and @entity908 phosphokinase was 34 IU. @entity1851 was negative. The level of serum @entity1289 was slightly increased at 25.8 IU/l/37.0 degrees C (normal range: 7-24.0). Chest radiography showed @entity712 with a cardiothoracic ratio of 54%. There was no bilateral @entity3329 or fibrous changes during her clinical course. The coronary arteries were completely normal angiographically. Left ventriculograms revealed slight hypokinesis and @entity384 (end-diastolic volume index of 112 ml/m2, ejection fraction of 53%). Left ventricular end-diastolic pressure was slightly abnormal at 16 mmHg. Two right and two left ventricular endomyocardial biopsies were performed. Right ventricular biopsy demonstrated @entity4 tissue and a slight mononuclear cell infiltration with little @entity82 . Left ventricular specimens showed an extensive area of @entity82 , with large, multinucleated giant cells with an @entity1053 and @entity32 without epithelioid cells. The less affected areas of another specimen showed mild @entity82 and degenerative myocytes with vacuolation, and some multinucleated myocytes without an @entity1053 were present. This case was diagnosed as @entity299 rather than @entity2401 . The @entity1 has been implanted with a permanent pacemaker.(ABSTRACT TRUNCATED AT 250 WORDS)
