title: Type 1 Kounis Syndrome in Patient with Idiopathic Anaphylaxis.
abstract: Kounis syndrome represents the concurrence of acute coronary syndromes or anginal pain with allergic, hypersensitivity, and anaphylactic reactions. It can be associated with normal coronary angiogram or preexistent coronary pathology. Idiopathic anaphylaxis is defined as anaphylaxis without any identifiable precipitating agent or event. We present a case of male who experienced attacks of dyspnoea, hypoxemia, hypotension, purple-red skin, and chest pain over several years. He was diagnosed with idiopathic anaphylaxis. Based on the pattern of chest pain of ischemic origin during the attacks he was retrospectively diagnosed with Kounis syndrome.
authors.affiliation: Department of Internal Medicine, General Hospital Slovenj Gradec, Gosposvetska 1, SI-2380 Slovenj Gradec, Slovenia.
authors.forename: Tajda
authors.identifier: 0000-0001-8285-2431
authors.initials: T
authors.lastname: Keber
authors.affiliation: Department of Internal Medicine, General Hospital Slovenj Gradec, Gosposvetska 1, SI-2380 Slovenj Gradec, Slovenia.
authors.forename: Jana
authors.initials: J
authors.lastname: Makuc
authors.affiliation: Department of Internal Medicine, General Hospital Slovenj Gradec, Gosposvetska 1, SI-2380 Slovenj Gradec, Slovenia.
authors.forename: Gregor
authors.initials: G
authors.lastname: Sekavčnik