Open Access

Combination therapy with pulmonary arterial hypertension targeted drugs and immunosuppression can be a useful strategy for sarcoidosis-associated pulmonary hypertension: a case report

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Date: 16 December 2020
Journal: European Heart Journal - Case Reports , Volume 5 , Issue 1
Authors: K. Sumimoto , Y. Taniguchi , N. Emoto , K. Hirata , G. Belinda , N. Dan Octavian , S. Ayako , T. Daniel , M. Vishal Shahil

ESC Journals

AbstractBackground

Pulmonary hypertension (PH) is one of the significant complications of sarcoidosis. In the clinical classification of PH proposed in the recent world symposium of PH 2018, sarcoidosis-associated PH is classified in Group 5. The mechanisms of sarcoidosis-associated PH are very heterogeneous. There is no evidence of effective treatment for this condition.

Case summary

We report a case of a 46-year-old female who developed severe pulmonary hypertension due to sarcoidosis. Her haemodynamics, exercise capacity, and functional class remarkably improved after the treatment with pulmonary arterial hypertension (PAH) targeted drugs including macitentan and tadalafil and secondary immunosuppressive therapy with corticosteroids.

Discussion

This case emphasizes the importance of considering the underlying mechanisms of sarcoidosis-associated PH in order to choose appropriate treatment.

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About the contributors

Keiko Sumimoto

Kobe (Kobe University Graduate School of Medicine)

Role: Author

Yu Taniguchi

Role: Author

Noriaki Emoto

Role: Author