RESUMEN
We herein report a woman diagnosed with cardiac sarcoidosis (CS) based on the presence of epithelioid granulomas in non-cardiac organs and clinical findings including sustained ventricular tachycardia (VT) and cardiac dysfunction. She stopped oral corticosteroid after 4 years of treatment, and an abnormal myocardial uptake of fluorine-18 fluorodeoxyglucose and sustained VT recurred 3.5 years later. There is no consensus concerning whether or not corticosteroid therapy should be discontinued in the treatment of CS. As a relapse of sarcoidosis-related inflammation may be associated with life-threatening arrhythmia, some patients should continue corticosteroid therapy, even at low doses.
Asunto(s)
Corticoesteroides/administración & dosificación , Cardiomiopatías/patología , Sarcoidosis/patología , Taquicardia Ventricular/patología , Cardiomiopatías/complicaciones , Femenino , Fluorodesoxiglucosa F18/farmacocinética , Humanos , Persona de Mediana Edad , Sarcoidosis/complicaciones , Taquicardia Ventricular/complicaciones , Taquicardia Ventricular/terapiaRESUMEN
A practical, economical, and industrial process for the enzymatic production of difructose anhydride III (DFA III) was investigated for crude inulin prepared from chicory roots using Arthrobacter sp. H65-7 fructosyltransferase. A comparable level of DFA III production to that from commercial inulin was obtained using crude inulin, suggesting the feasibility of this production process.