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首页> 外文期刊>Clinical medicine: journal of the Royal College of Physicians of London >Lesson of the month 1: Beware the atypical presentation: eosinophilic granulomatosis with polyangiitis presenting as acute coronary syndrome
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Lesson of the month 1: Beware the atypical presentation: eosinophilic granulomatosis with polyangiitis presenting as acute coronary syndrome

机译：本月课程：当心非典型性表现：嗜酸性肉芽肿伴多血管炎表现为急性冠状动脉综合征

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摘要

We describe the case of a 45-year-old woman presenting with troponin positive cardiac-sounding chest pain. An initial emergency angiogram demonstrated two vessel coronary disease, including a distal right coronary artery occlusion. No percutaneous coronary intervention was performed and the patient was treated medically. At re-presentation with further pain a few days later, coronary angiography demonstrated no significant coronary lesions. After consideration of other multisystem symptoms and raised eosinophil count, the patient was diagnosed with eosinophilic granulomatosis with polyangiitis (formerly known as Churg-Strauss syndrome) presenting with coronary arteritis. This case should remind physicians to be vigilant and to consider non-atherosclerotic causes of acute coronary syndrome presentation, which should not always result in a stent.
机译：我们描述了一个肌钙蛋白阳性的心脏听起来胸痛的45岁女性的情况。最初的紧急血管造影显示了两种血管冠状动脉疾病，包括右冠状动脉远端闭塞。没有进行经皮冠状动脉介入治疗并且对该患者进行了药物治疗。在几天后再次出现疼痛时，冠状动脉造影没有显示出明显的冠状动脉病变。在考虑了其他多系统症状和嗜酸性粒细胞计数升高后，该患者被诊断患有嗜酸性肉芽肿并伴有冠状动脉炎的多血管炎（以前称为Churg-Strauss综合征）。这种情况应提醒医生保持警惕，并考虑非急性动脉粥样硬化引起的急性冠状动脉综合征的病因，这种病不一定总会导致支架的出现。

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