Rare Manifestation Of Churg-Strauss Syndrome: Coronary Artery Vasospasm Complicated By Myocardial Infarction

Authors

  • radi fatima zohra department of cardiology B, university hospital of rabat
  • hara loubna department of cardiology B, university hospital of rabat
  • el ouazzani amine department of cardiology B, university hospital of rabat
  • berroho ouassima department of cardiology B, university hospital of rabat
  • doghmi nawal department of cardiology B, university hospital of rabat
  • zarzur jamila department of cardiology B, university hospital of rabat
  • cherti mohamed department of cardiology B, university hospital of rabat
  • tazi mzaalek zoubida department of internal medicine, university hospital of rabat
  • sefiani sanae department of pathological anatomy, university hospital of rabat
  • lahma jawad department of otolaryngology, university hospital of rabat
  • el ayoubi ali department of otolaryngology, university hospital of rabat

DOI:

https://doi.org/10.3823/2248

Keywords:

churg-strauss syndrome, myocardial infarction, coronary vasospasm

Abstract

Churg-Strauss syndrome (CSS) is a rare multisystemic disorder of unknown origin and cardiac involvement is one of the most serious manifestations of the disease.

Vasospastic angina and myocardial infarction are unusual clinical manifestations of Churg-Strauss syndrome (CSS).

We report a case of Churg-Strauss syndrome coexistent with myocardial infarction due to coronary vasospasm. A 25-year-old man with bronchial asthma and allergic rhinitis was admitted to our hospital because of acute respiratory distress and atypical chest pain. Angiography showed diffuse coronary artery spasm with healthy arteries. Myocardial infarction due to coronary vasospasm was diagnosed. In addition, marked eosinophilia, eosinophilic pneumonitis, chronic sinusitis, nasal endoscopy was performed objectifying nasal polyposis. The histological analysis of the polyposis biopsy revealed extravascular eosinophilic infiltrates. Combination therapy of glucocorticoids and cyclophosphamide was initiated.

References

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Published

2017-01-25

Issue

Vol. 9 (2016)

Section

Cardiology

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