与变应性肉芽肿性血管炎相关的急性冠状动脉综合征
Acute coronary syndrome associated with Churg-Strauss syndrome.
作者信息
Wagner Annette Doris, Meyer Gerd Peter, Rihl Markus, Rathmann Anke, Wittkop Ulrike, Zeidler Henning, Haller Hermann, Lotz Joachim
机构信息
Department Internal Medicine, Division of Nephrology, Medizinische Hochschule Hannover, Germany.
出版信息
Vasc Health Risk Manag. 2007;3(5):775-9.
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.
一名41岁女性患者因急性呼吸困难和胸痛入院。既往史显示有哮喘、慢性鼻窦炎和嗜酸性粒细胞性直肠炎。心电图显示前壁ST段抬高和下壁ST段压低。立即进行的心导管检查显示左前降支冠状动脉远端闭塞，使用硝酸甘油后闭塞可逆转。心脏磁共振成像与心肌周围炎相符。存在嗜酸性粒细胞增多和IgE升高，诊断为变应性肉芽肿性血管炎。
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