Effusive Constrictive Pericarditis in Autoimmune Polyglandular Syndrome Type II David McNamara, MD, MPH, Haru Yamamoto, MD, Venetia Sarode, MD, Vlad G. Zaha, MD, PhD The American Journal of Medicine Volume 130, Issue 5, Pages e213-e214 (May 2017) DOI: 10.1016/j.amjmed.2016.12.026 Copyright © 2017 Elsevier Inc. Terms and Conditions
Figure (A) Ventricular interdependence, indicated by the dynamic, diastolic, inspiratory, leftward deviation of the interventricular septum (arrow), apical 4-chamber echocardiographic view. (B) Pericardial late gadolinium enhancement (arrows), short axis cardiac magnetic resonance view. (C) Pericardial lymphocytic infiltrate and reactive fibrosis, hematoxylin and eosin staining, original magnification 20×. (D) Pericardial IgG4-positive lymphocytes (arrow), IgG4 immunohistochemistry, original magnification 40×. The American Journal of Medicine 2017 130, e213-e214DOI: (10.1016/j.amjmed.2016.12.026) Copyright © 2017 Elsevier Inc. Terms and Conditions