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一名患有多支冠状动脉疾病和药物超敏反应伴嗜酸性粒细胞增多综合征（DRESS）的患者的库尼斯综合征

Kounis syndrome in a patient with multivessel coronary artery disease and DRESS.

作者信息

La Cognata Olga, Trimarchi Giancarlo, Lo Savio Armando, Virga Vittorio, Andò Giuseppe, de Gregorio Cesare

机构信息

Department of Clinical and Experimental Medicine, Postgraduate School of Cardiology Azienda Ospedaliera Universitaria Policlinico "Gaetano Martino", University of Messina Messina Italy.

出版信息

Clin Case Rep. 2023 Mar 20;11(3):e7121. doi: 10.1002/ccr3.7121. eCollection 2023 Mar.

DOI:10.1002/ccr3.7121
PMID:36950673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10025948/
Abstract

A 68-year-old man was admitted with ST-elevation myocardial infarction and intense rash. He was diagnosed with type 2 Kounis syndrome elicited by drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome and received complete revascularization with percutaneous coronary intervention. This case highlights the complex pathophysiology of acute coronary syndrome, and the elusive link between coronary occlusion and ST-segment deviations at ECG.

摘要

一名68岁男性因ST段抬高型心肌梗死和严重皮疹入院。他被诊断为2型库尼斯综合征，由药物反应伴嗜酸性粒细胞增多和全身症状（DRESS）综合征引发，并接受了经皮冠状动脉介入治疗实现完全血运重建。该病例突出了急性冠状动脉综合征复杂的病理生理学，以及冠状动脉闭塞与心电图ST段偏移之间难以捉摸的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/c78f4749b5c5/CCR3-11-e7121-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/a8b76d51af11/CCR3-11-e7121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/7405e4efd4ef/CCR3-11-e7121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/54acbe5a2d5d/CCR3-11-e7121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/ae65afe7bdf2/CCR3-11-e7121-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/c78f4749b5c5/CCR3-11-e7121-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/a8b76d51af11/CCR3-11-e7121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/7405e4efd4ef/CCR3-11-e7121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/54acbe5a2d5d/CCR3-11-e7121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/ae65afe7bdf2/CCR3-11-e7121-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb0/10025948/c78f4749b5c5/CCR3-11-e7121-g005.jpg

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