case_images: PMC10905987_01
case_images: Event monitor (day 17) showing high-grade atrioventricular block
case_images: cureus-0016-00000053290-i01.jpg
case_images: PMC10905987_01_cureus-0016-00000053290-i01.jpg
case_images: FIG1
case_images: The event monitor detected intermittent high-grade atrioventricular block around the time of her third episode at which point she was directed to go to the nearest ER (Figure 1).
case_images: A 4.8 x 1.2 x 4.9 lesion involving left frontal skull bone and meninges of gadolinium enhancement on brain MRI (yellow arrow). (A) T2-weighted-Fluid-Attenuated Inversion Recovery (T2-FLAIR). (B) T1-weighted-conventional spin echo (T1-SE)
case_images: cureus-0016-00000053290-i02.jpg
case_images: PMC10905987_01_cureus-0016-00000053290-i02.jpg
case_images: FIG2
case_images: MRI of the brain performed to investigate a transient ischemic attack two years ago detected lytic skull bone lesions, which were biopsied and indicated granulomatous inflammation (Figure 2).
case_images: Discoid, erythematous, non-itchy patch distal to the right elbow
case_images: cureus-0016-00000053290-i03.jpg
case_images: PMC10905987_01_cureus-0016-00000053290-i03.jpg
case_images: FIG3
case_images: A skin examination revealed discoid, erythematous, non-itchy patches affecting all extremities (Figure 3).
case_images: Multifocal areas of late gadolinium enhancement on cardiac MRI (yellow arrows). (A) Four-chamber view of post-contrast T1 images showing late gadolinium enhancement. (B) Short-axis view showing areas of late gadolinium enhancement
case_images: cureus-0016-00000053290-i04.jpg
case_images: PMC10905987_01_cureus-0016-00000053290-i04.jpg
case_images: FIG4
case_images: After discharge, a cardiac MRI confirmed the diagnosis of cardiac sarcoidosis (Figure 4).