Serial cardiac MRI can be a useful non-invasive tool for diagnosing and monitoring endomyocardial fibrosis and mural thrombus in children with idiopathic hypereosinophilia syndrome.
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Cardiac MRI may support non-invasive monitoring in rare pediatric hypereosinophilia cases; leaves open generalizability and requires prospective validation.
We present the case of a 4-year-old girl with idiopathic hypereosinophilia syndrome, endomyocardial fibrosis, and mural thrombus. This condition is rarely seen in children outside the tropics. Myocardial biopsy is historically the standard for diagnosis. Reports in adult literature, however, have shown the utility of cardiac MRI as a non-invasive tool for diagnosis, prognosis, and monitoring. To our knowledge, this is the first reported case with serial cardiac MRI in a child.
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Tai et al. (2015) studied this question.
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