Acute coronary syndrome associated with Churg-Strauss syndrome.
A 41 -year old female patient was admitted with acute onset of dyspnea and chest pain. Previous history revealed asthma, chronic sinusitis and eosinophilic proctitis. Electrocardiogram showed anterior ST-segment elevations and inferior ST-segment depression. Immediate heart catheterization revealed a distally occluded left anterior descending coronary artery, the occlusion being reversible after nitroglycerine. Cardiac magnetic resonance imaging was consistent with perimyocarditis. Hypereosinophilia and IgE elevation were present and Churg-strauss syndrome was diagnosed.
Wagner
Annette Doris
AD
Department Internal Medicine, Division of Nephrology, Medizinische Hochschule Hannover, Germany. A.D.Wagner@gmx.net
Meyer
Gerd Peter
GP
Rihl
Markus
M
Rathmann
Anke
A
Wittkop
Ulrike
U
Zeidler
Henning
H
Haller
Hermann
H
Lotz
Joachim
J
D054058:Acute Coronary Syndrome / Q000150:complications* / Q000473:pathology*; D000328:Adult; D000792:Angiography; D015267:Churg-Strauss Syndrome / Q000097:blood / Q000150:complications* / Q000201:enzymology / Q000473:pathology*; D003402:Creatine Kinase / Q000097:blood; D004804:Eosinophils / Q000166:cytology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007958:Leukocyte Count; D008279:Magnetic Resonance Imaging
D003402:Creatine Kinase