Acikel Sadik, Sari Munevver, Akdemir Ramazan
Ministry of Health Dişkapi Yildirim Beyazit Research and Educational Hospital, Department of Cardiology, Ankara, Turkey.
Blood Coagul Fibrinolysis. 2010 Oct;21(7):703-6. doi: 10.1097/MBC.0b013e32833e4781.
Sweet's syndrome is characterized by skin lesions and fever. One of the rare extracutaneous manifestations of Sweet's syndrome is cardiovascular involvement including coronary artery occlusion. In this article, we present a case of acute myocardial infarction associated with exacerbation of Sweet's syndrome. Coronary angiography has demonstrated normal left coronary arterial system and the occlusion of distal right coronary artery. The patient underwent successful balloon angioplasty and subsequent coronary artery stenting. The presence of coronary ectasia, aneurysm and coronary occlusion of right coronary artery caused us to hypothesize that the coronary involvement including ectasia, aneurysm and occlusion might be associated with hyperreactive inflammatory response secondary to exacerbations of Sweet's syndrome.
斯威特综合征的特征为皮肤损害和发热。斯威特综合征罕见的皮肤外表现之一是心血管受累，包括冠状动脉闭塞。在本文中，我们报告一例与斯威特综合征加重相关的急性心肌梗死病例。冠状动脉造影显示左冠状动脉系统正常，右冠状动脉远端闭塞。该患者接受了成功的球囊血管成形术及随后的冠状动脉支架置入术。右冠状动脉的冠状动脉扩张、动脉瘤和冠状动脉闭塞的存在使我们推测，包括扩张、动脉瘤和闭塞在内的冠状动脉受累可能与斯威特综合征加重继发的高反应性炎症反应有关。
