Key result
Endomyocardial fibrosis can manifest with atypical pericardial involvement and schistosomal granulomas.
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Design
Case report
Alerts to atypical pericardial features in endomyocardial fibrosis; leaves open schistosomal role and management implications.
In this report of three patients with EMF, we report the unusual affection of the pericardium with echocardiographic epicardial thickening and pericardial inflammatory reaction, the presence of schistosomal granuloma in the pericardium, echocardiographic evidence of dense extensive fibrotic endocardial lesions, and microscopic evidences of an ongoing fibrotic process.
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Ayman et al. (1995) studied this question. Endomyocardial fibrosis can present with unusual pericardial involvement characterized by epicardial thickening, schistosomal granulomas, and extensive fibrotic endocardial lesions.
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