SUCCESSFUL REDUCTION OF ENDOMYOCARDIAL FIBROSIS IN A PATIENT WITH IDIOPATHIC HYPEREOSINOPHILIC SYNDROME - A CASE-REPORT

A case of endomyocardial fibrosis in a patient with idiopathic hypereo sinophilic syndrome is reported and discussed. The authors draw attent ion to the importance of both echocardiography (two-dimensional and Do ppler) and nuclear magnetic resonance in the detection of cardiac invo lvement due to this rare pathology. Moreover, these imaging techniques appear to be valuable in the evaluation of effects of medical treatme nt. Therapy with corticosteroids alone has shown no reliable effective ness in reducing the absolute eosinophil count. A combined immunosuppr essive treatment with use of hydroxyurea is required.