Crow-Fukase syndrome: a case associated with vasospastic angina.
The patient is a 60-year-old man who developed numbness of the extremities, paralysis, hyperpigmentation of the skin, hypertrichosis, anasarca and chest pain at the age of 58 years. The diagnosis of Crow-Fukase syndrome was made and myeloma was not found. Prednisolone therapy was effective but chest pain reappeared every morning when prednisolone was tapered to 30 mg alternate day. Coronary arteriogram showed no stenosis but administration of acetylcholine into the coronary artery produced ST elevation in electrocardiogram, chest pain and coronary artery stenosis which were relieved by administration of nitrates into the coronary artery.
Department of Neurology, Nihon University School of Medicine, Tokyo, Japan.
Y
Y
Mochizuki
H
H
Yoshihashi
M
M
Oishi
T
T
Takasu
K
K
Nozawa
T
T
Uchiyama
S
S
Sawada
D000109:Acetylcholine; D000788:Angina Pectoris, Variant / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D007548:Isosorbide Dinitrate / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D016878:POEMS Syndrome / Q000150:complications* / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D011859:Radiography
D011239:Prednisolone; D007548:Isosorbide Dinitrate; D000109:Acetylcholine