Tian Zhuang, Zhang Shuyang, Wu Qingjun
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, China.
Intern Med. 2011;50(21):2587-9. doi: 10.2169/internalmedicine.50.5727. Epub 2011 Nov 1.
We report a case of recurrent variant angina pectoris which occurred even while receiving antispastic treatment. Coronary angiography revealed no obvious lesion. Behçet's syndrome was diagnosed based on recurrent oral aphthous and genital ulcer as well as skin manifestation. After treatment with immunosuppressant, neither angina nor oral ulcer relapsed. We strongly believe that the variant angina is due to coronary vasospasm induced by Behçet's syndrome in this patient.
我们报告一例即使在接受抗痉挛治疗时仍复发的变异型心绞痛病例。冠状动脉造影未发现明显病变。根据复发性口腔溃疡、生殖器溃疡以及皮肤表现诊断为白塞病。经免疫抑制剂治疗后,心绞痛和口腔溃疡均未复发。我们坚信该患者的变异型心绞痛是由白塞病引起的冠状动脉痉挛所致。