Video 1

Apical 4-chamber and parasternal long axis two-dimensional transthoracic echocardiography showing sparkling pattern of myocardium and concentric biventricular wall thickening, moderately reduced LV ejection fraction, mildly reduced right ventricular function, enlarged and thickened atria, and a small pericardial effusion. Used with permission of Mayo Foundation for Medical Education and Research. View Video 1 at

A rash with a heavy heart

Sergio Barros-Gomes, Niyada Naksuk, Dragan Jevremovic, and Hector R Villarraga

2017. 4:K11-K15 DOI: 10.1530/ERP-17-0021