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变应性肉芽肿性血管炎。一例有冠状动脉受累血管造影记录的病例报告及文献复习。

The Churg-Strauss syndrome. A case report with angiographically documented coronary involvement and a review of the literature.

作者信息

Kozak M, Gill E A, Green L S

机构信息

Nora Eccles Cardiovascular Research and Training Institute, University of Utah Medical Center, Salt Lake City.

出版信息

Chest. 1995 Feb;107(2):578-80. doi: 10.1378/chest.107.2.578.

DOI:10.1378/chest.107.2.578
PMID:7842802
Abstract

The Churg-Strauss syndrome (CSS) is an unusual disease that presents as a systemic vasculitis and peripheral eosinophilia in a patient with chronic atopic disease. Although often not prominent on initial presentation, cardiac involvement is a major cause of morbidity and mortality in patients with CSS. We report a case of a young woman with CSS who had a myocardial infarction. Coronary arteriography was performed for recurrent chest pain and demonstrated diffuse vasculopathy consistent with vasculitis in CSS. We have also included a review of the literature on cardiac involvement in CSS.

摘要

变应性肉芽肿性血管炎(CSS)是一种罕见疾病,表现为患有慢性特应性疾病的患者出现系统性血管炎和外周嗜酸性粒细胞增多。虽然在初次就诊时通常不明显,但心脏受累是CSS患者发病和死亡的主要原因。我们报告一例患有心肌梗死的年轻女性CSS病例。因反复胸痛进行了冠状动脉造影,结果显示弥漫性血管病变,符合CSS中的血管炎表现。我们还纳入了关于CSS心脏受累的文献综述。

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