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May 29, 2026Radiology Case ReportsOpen Access

Imaging signatures of eosinophilic granulomatosis with polyangiitis–related myocarditis: A case report

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Key result

Cardiac MRI identifies Churg-Strauss syndrome cardiac manifestations to guide timely immunosuppressive therapy.

  • n=1

Why the study?

Cardiac involvement is a major determinant of morbidity and mortality in eosinophilic granulomatosis with polyangiitis, where cardiac MRI serves as a sensitive noninvasive tool to identify eosinophilic myocarditis.

Population

A 23-year-old man with Churg–Strauss syndrome, asthma, and persistent hypereosinophilia

Design

Case report

Authors

NLNour el houda lamassabMohamed I UniversityIMIhssan MerimiMohamed I UniversityINIsmaili NabilaMohamed I University

Discussion

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Implication

May support CMR-guided therapy adjustments in EGPA; leaves open need for prospective validation before broader adoption.

Key Points

  • To illustrate the significance of cardiac MRI in diagnosing myocarditis related to eosinophilic granulomatosis with polyangiitis.
  • Reported case of a 23-year-old man with asthma and hypereosinophilia diagnosed with Churg–Strauss syndrome.
  • Utilized cardiac MRI to evaluate cardiac involvement.
  • Assessed the implications for treatment and outcomes.
  • Cardiac MRI revealed eosinophilic infiltration indicative of myocarditis.
  • Timely recognition facilitated adjustment of immunosuppressive therapy.
  • Key to improving long-term patient outcomes.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
23-year-old man with a history of asthma and persistent hypereosinophilia diagnosed with eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) with renal and neurological involvement
I
Intervention
Cardiac MRI
O
Outcome
Identification of cardiac abnormalities (myocarditis)surrogate

Cardiac MRI is a crucial noninvasive tool for identifying myocarditis in patients with eosinophilic granulomatosis with polyangiitis, guiding appropriate immunosuppressive therapy.

Cite This Study

lamassab et al. (2026) conducted a case report in Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) (n=1). Cardiac MRI was evaluated. Cardiac MRI successfully identified cardiac manifestations of Churg-Strauss syndrome in a 23-year-old man, enabling timely adjustment of immunosuppressive therapy.

synapsesocial.com/papers/6a192c67fab5b468c44154d0https://doi.org/10.1016/j.radcr.2026.04.062

Topics

Myocarditis
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases2013 · 3,504 citations
  2. 2Comparative Evaluation of Left and Right Ventricular Endomyocardial Biopsy2010 · 437 citations
  3. 3Cardiac involvement in eosinophilic granulomatosis with polyangiitis: acute eosinophilic myocarditis and chronic inflammatory cardiomyopathy2024 · 27 citations
  4. 4Eosinophilic Myocarditis2017 · 336 citations
  5. 5Long‐Term Followup of a Multicenter Cohort of 101 Patients With Eosinophilic Granulomatosis With Polyangiitis (Churg‐Strauss)2015 · 159 citations