Leukocytoclastic vasculitis associated myocarditis: differentiating inflammatory from inherited heart muscle disease

A 31-year-old man with a history of asthma presented with chest tightness and breathlessness. About 6-weeks prior, he had returned from the Hajj pilgrimage with a sore throat, dry cough and developed a vasculitic leg rash and microscopic haematuria. Investigations confirmed Influenza A (H1N1) and elevated serum antistreptolyson O (ASO) titre (595 Kunits/L, normal 0 –200). Renal function and ultrasound were normal. Skin biopsy confirmed leukocytoclastic vasculitis and a tapering dose of oral prednisolone and amoxicillin was initiated.
Source: European Heart Journal - Category: Cardiology Source Type: research