| Shortness of breath, syncope, and cardiac arrest caused by systemic mastocytosis. | |
| | |
MedLine Citation:
|
PMID: 15940090 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
During a 3-month period, a 33-year-old man presented to the emergency department on 4 occasions with dyspnea, palpitations, and syncope. His initial presentation was accompanied by acute myocardial injury and ventricular fibrillation. An extensive evaluation spanned the 3 months and included echocardiography, cardiac catheterization, electrophysiology study, tilt-table evaluation, pulmonary angiography, electroencephalography, and serum and urine analysis. Diagnosis eluded clinicians until a rash was recognized to be urticaria pigmentosa, and biopsy of the rash then implicated mastocytosis. Since the initiation of pharmacotherapy nearly 5 years ago, the patient has remained asymptomatic. This case demonstrates that systemic mastocytosis can present as recurrent syncope and even as cardiac arrest. Diagnosis of this rare but potentially fatal disease is made particularly challenging by its protean manifestations. |
| | |
Authors:
|
Susan M Rohr; Michael W Rich; Kevin H Silver |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Annals of emergency medicine Volume: 45 ISSN: 1097-6760 ISO Abbreviation: Ann Emerg Med Publication Date: 2005 Jun |
Date Detail:
|
Created Date: 2005-06-07 Completed Date: 2006-05-18 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 592-4 Citation Subset: AIM; IM |
Affiliation:
|
Department of Internal Medicine, Summa Health System, and Northeastern Ohio Universities College of Medicine, Akron, OH, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Dyspnea / etiology Epinephrine / therapeutic use Heart Arrest / etiology Humans Hypotension / etiology Male Mastocytosis, Systemic / complications, diagnosis*, drug therapy Syncope / etiology |
| Chemical | |
Reg. No./Substance:
|
51-43-4/Epinephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Point-of-care testing reduces length of stay in emergency department chest pain patients.
Next Document: Crotalidae polyvalent immune Fab (ovine) antivenom is effective in the neutralization of South Ameri...