PMID- 22700996
OWN - NLM
STAT- MEDLINE
DCOM- 20130729
LR  - 20211021
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2011
DP  - 2011 Apr 13
TI  - Churg-Strauss presenting as acute coronary syndrome: sometimes it's zebras.
LID - 10.1136/bcr.01.2011.3703 [doi]
LID - bcr0120113703
AB  - A 53-year-old patient presented to our institution with troponin-positive chest 
      pain and new-onset peripheral oedema. A week prior, while abroad, he had 
      developed visual disturbances and fever in conjunction with an elevated troponin. 
      Coronary angiography had revealed minor coronary artery disease and he was 
      treated for acute coronary syndrome and occult infection. On arrival to our 
      coronary care unit, further review elicited a history of recently diagnosed and 
      worsening severity asthma with nasal polyposis. A mononeuritis and a vasculitic 
      rash were noted and blood screen showed hypereosinophilia and immunoglobulin E 
      (IgE) elevation. A clinical diagnosis of Churg-Strauss syndrome was made and the 
      patient was treated urgently and successfully with immunosuppressants. The case 
      illustrates a fulminant presentation mode of this rare vasculitis and the 
      importance of seeking a unifying diagnosis in cases presenting with apparently 
      disparate symptoms and findings.
FAU - Kakouros, Nicholaos
AU  - Kakouros N
AD  - Department of Cardiology, Johns Hopkins School of medicine, Baltimore, Maryland, 
      USA. nkakouros@gmail.com
FAU - Bastiaenen, Rachel
AU  - Bastiaenen R
FAU - Kourliouros, Antonios
AU  - Kourliouros A
FAU - Anderson, Lisa
AU  - Anderson L
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110413
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Acute Coronary Syndrome/*etiology
MH  - Churg-Strauss Syndrome/*complications/*diagnosis
MH  - Humans
MH  - Male
MH  - Middle Aged
PMC - PMC3079452
COIS- Competing interests None.
EDAT- 2011/01/01 00:00
MHDA- 2013/07/31 06:00
PMCR- 2013/04/13
CRDT- 2012/06/16 06:00
PHST- 2012/06/16 06:00 [entrez]
PHST- 2011/01/01 00:00 [pubmed]
PHST- 2013/07/31 06:00 [medline]
PHST- 2013/04/13 00:00 [pmc-release]
AID - 2011/apr12_1/bcr0120113703 [pii]
AID - bcr.01.2011.3703 [pii]
AID - 10.1136/bcr.01.2011.3703 [doi]
PST - epublish
SO  - BMJ Case Rep. 2011 Apr 13;2011:bcr0120113703. doi: 10.1136/bcr.01.2011.3703.