A 50-year-old male, heavy smoker (>30 p/Y), presented to E.R. because of chest pain. In his recent clinical history, he had relapsing papular-purpuric small lesions in the limbs, trunk and arms accompanied by burning sensation. After the exclusion of ST elevation myocardial infarction (STEMI), cardiac MRI was performed, showing mild left ventricle dysfunction (EF 41 %), and myocardial oedema in the septum and in the basal to middle antero-lateral wall, suggestive of acute myocarditis. (Fig. 1a).
