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

Radi Fatima Zohra | Zendy; Loubna Hara | Zendy; El Ouazzani Amine | Zendy; Berroho Ouassima | Zendy; Nawal Doghmi | Zendy; Jamila Zarzur | Zendy; Mohamed Cherti | Zendy; Tazi Mzaalek Zoubida | Zendy; Sefiani Sanae | Zendy; Lahma Jawad | Zendy; El Ayoubi Ali | Zendy; Essakali Leila | Zendy

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

Author(s) -

Radi Fatima Zohra,

Loubna Hara,

El Ouazzani Amine,

Berroho Ouassima,

Nawal Doghmi,

Jamila Zarzur,

Mohamed Cherti,

Tazi Mzaalek Zoubida,

Sefiani Sanae,

Lahma Jawad,

El Ayoubi Ali,

Essakali Leila

Publication year - 2016

Publication title -

international archives of medicine

Language(s) - English

Resource type - Journals

ISSN - 1755-7682

DOI - 10.3823/2248

Subject(s) - medicine , myocardial infarction , eosinophilia , cardiology , coronary vasospasm , chest pain , vasospasm , eosinophilic , angina , pathology , subarachnoid hemorrhage

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 recurrent chest pain. Angiography showed severe spontaneous coronary artery spasm with healthy arteries. Cardiac MRI objectify a transmural ischemic involvement. Myocardial infarction due to coronary vasospasm was diagnosed. In addition, marked eosinophilia, eosinophilic pneumonitis, chronic sinusitis, a nasal endoscopy was performed objectifying nasal polyposis. The histological analysis of the polyposis biopsy revealed extravascular eosinophilic infiltrates. The patient was put on a combination therapy of glucocorticoids and cyclophosphamide. Rare Manifestation of Churg-Strauss Syndrome: Coronary Artery Vasospasm Complicated by Myocardial Infarction CASE REPORT

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