title: Unusual thrombotic cardiac complications of Pemphigus vulgaris: a new link?
abstract: We are reporting a case of Pemphigus vulgaris with extensive thrombosis of deep veins, pulmonary veins, and cardiac chambers complicated by myocardial infarction. The extensive skin lesions prohibited the administration of thrombolytics and coronary intervention. The patient was treated conservatively with heparin, and oral anticoagulation in addition to steroids and cyclosporine with significant resolution of thrombosis.
authors.affiliation: Division of Cardiology, American University of Beirut- Medical Center, P.O Box: 11-0236/A19, Riad El Solh, 11072020 Beirut, Lebanon. sarnaout@aub.edu.lb
authors.forename: M Samir
authors.initials: MS
authors.lastname: Arnaout
authors.forename: Adel
authors.initials: A
authors.lastname: Dimasi
authors.forename: Rami
authors.initials: R
authors.lastname: Harb
authors.forename: Samir
authors.initials: S
authors.lastname: Alam
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D016572:Cyclosporine / Q000627:therapeutic use; D003952:Diagnostic Imaging; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D010392:Pemphigus / Q000150:complications*; D011655:Pulmonary Embolism; D013256:Steroids / Q000627:therapeutic use; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology*
chemical_list: D000925:Anticoagulants; D013256:Steroids; D016572:Cyclosporine; D006493:Heparin