A case of eosinophilic myocarditis complicated by Kimura's disease (eosinophilic hyperplastic lymphogranuloma) and erythroderma

This report describes a patient with eosinophilic myocarditis complicated b y Kimura's disease (eosinophilic hyperplastic lymphogranuloma) and erythrod erma. A 50-year-old man presented with a complaint of precordial pain. Howe ver, the only abnormal finding on examination was eosinophilia (1617 eosino phils/mu 1). Three years later, the patient developed chronic eczema, and w as diagnosed with erythroderma posteczematosa. One year later, a tumor was detected in the right auricule, and a diagnosis of Kimura's disease was mad e, based on the biopsy findings. The patient developed progressive dyspnea 6 months later and was found to have cardiomegaly and a depressed left vent ricular ejection fraction (17%). A diagnosis of eosinophilic myocarditis wa s made based on the results of a right ventricular endomyocardial biopsy. T he eosinophilic myocarditis and erythrodrema were treated with steroids wit h improvement of both the eosinophilia and left ventricular function.