Indian Journal of Critical Care Case Report

Register      Login

VOLUME 2 , ISSUE 4 ( July-August, 2023 ) > List of Articles

CASE REPORT

Eosinophilic Granulomatosis with Polyangiitis Presenting as Acute Non-segment Elevation Myocardial Infarction: A Case Report

Vamsi K Kaza, Swarna D Kurgayala

Keywords : Case report, Eosinophilic granulomatosis with polyangiitis, Non-ST-elevation myocardial infarction, Vasculitis

Citation Information : Kaza VK, Kurgayala SD. Eosinophilic Granulomatosis with Polyangiitis Presenting as Acute Non-segment Elevation Myocardial Infarction: A Case Report. 2023; 2 (4):103-105.

DOI: 10.5005/jp-journals-11006-0066

License: CC BY-NC 4.0

Published Online: 18-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Coronary artery involvement though known is rare in eosinophilic granulomatosis with polyangiitis. Cardiac involvement is associated with worse outcomes but early detection and appropriate treatment can prevent progression, and reduce overall mortality. We highlight the need for an open approach in younger patients presenting with chest pain, particularly the ones without major risk factors for atherosclerosis. This should prompt suspicion of a vasculitic cause of the chest pain and thereby help with early detection.


HTML PDF Share
  1. Lanham JG, Elkon KB, Pusey CD, et al. Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg-Strauss syndrome. Medicine (Baltimore) 1984;63(2):65–81. DOI: 10.1097/00005792-198403000-00001
  2. Guillevin L, Cohen P, Gayraud M, et al. Churg-Strauss syndrome. Clinical study and long-term follow-up of 96 patients. Medicine (Baltimore) 1999;78(1):26–37. DOI: 10.1097/00005792-199901000-00003
  3. Neumann T, Manger B, Schmid M, et al. Cardiac involvement in Churg-Strauss syndrome: impact of endomyocarditis. Medicine (Baltimore) 2009;88(4):236–243. DOI: 10.1097/MD.0b013e3181af35a5
  4. Sinico RA, Di Toma L, Maggiore U, et al. Prevalence and clinical significance of antineutrophil cytoplasmic antibodies in Churg-Strauss syndrome. Arthritis Rheum 2005;52(9):2926–2935. DOI: 10.1002/art.21250
  5. Chung SA, Langford CA, Maz M, et al. 2021 American College of Rheumatology/Vasculitis Foundation Guideline for the management of antineutrophil cytoplasmic antibody-associated vasculitis. Arthritis Care Res (Hoboken) 2021;73(8):1088–1105. DOI: 10.1002/acr.24634
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.