title: The Kounis-Zavras syndrome with the Samter-Beer triad.
abstract: We present a case of Kounis-Zavras syndrome in the setting of aspirin-induced asthma, or the Samter-Beer triad of asthma, nasal polyps, and aspirin allergy. The Kounis-Zavras syndrome, also known as Kounis syndrome, leads to angina pectoris or acute coronary syndrome secondary to coronary vasospasm in response to an allergic stimulus, leading to mast-cell degranulation of vasospastic mediators. The vasospasm can result in myocardial infarction, as it did in our patient.
authors.affiliation: Division of Cardiology (Schwartz, Kuiper) and the Division of Allergy and Immunology (Daulat), Department of Internal Medicine, Baylor University Medical Center at Dallas.
authors.forename: Brian G
authors.initials: BG
authors.lastname: Schwartz
authors.forename: Sonak
authors.initials: S
authors.lastname: Daulat
authors.forename: Johannes
authors.initials: J
authors.lastname: Kuiper