[Acute coronary syndrome in a 17-year-old female with systemic lupus erythematosus].
A 17-year-old female was admitted to the hospital with epigastric pain radiating into the chest and neck. The patient had a known, long-standing history of systemic lupus erythematosus (SLE) with predominantly renal involvement. Diagnostic examinations including left heart catheterization showed acute myocardial infarction based on a coronary three-vessel disease. Percutaneous transluminal coronary angioplasty (PTCA) with dilatation of the left marginal branch and the left posterolateral branch was performed. 8 weeks after PTCA, the patient was admitted again showing occlusion of the same coronary artery. A coronary stent was implanted which, after 8 weeks, also showed signs of occlusion. This case report describes premature myocardial infarction in a young woman with SLE and addresses and discusses the problem that myocardial infarction in SLE can be caused by atherosclerosis and/or arteritis of the coronary arteries.
Meyringer
Rotraud
R
Klinik und Poliklinik für Innere Medizin I, Universität, Regensburg. r.meyringer@juliusspital.de
Oberhoffer
Renate
R
Holmer
Stephan
S
Schölmerich
Jürgen
J
Müller-Ladner
Ulf
U
D000293:Adolescent; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D002637:Chest Pain / Q000209:etiology*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D008181:Lupus Nephritis / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000628:therapy; D012008:Recurrence; D019233:Retreatment; D015607:Stents