| Spontaneous coronary arterial dissection and isolated eosinophilic coronary arteritis: sudden cardiac death in a patient with a limited variant of Churg-Strauss syndrome. | |
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MedLine Citation:
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PMID: 1434915 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Isolated eosinophilic coronary arteritis expressed as a limited variant of the Churg-Strauss syndrome (allergic granulomatosis and angiitis) is a rare condition. Equally as rare is the entity of isolated spontaneous coronary arterial dissection associated with eosinophilic arteritis. A 57-year-old woman with a history of asthma and recurrent hypersensitivity (anaphylactoid) reactions to various exogenous allergens was found dead in her home; no premonitory complaints had been noted during the preceding days. Autopsy revealed focal occlusion of the left anterior descending and first diagonal coronary arteries by discrete dissecting hematomas of the media as the cause of sudden and unexpected death. Histologically, the affected arterial wall showed eosinophilic inflammation characteristic of this limited expression of the Churg-Strauss syndrome. To our knowledge, sudden cardiac death caused by arterial dissection in isolated eosinophilic coronary arteritis has not previously been reported. |
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Authors:
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J C Hunsaker; W N O'Connor; J T Lie |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Mayo Clinic proceedings. Mayo Clinic Volume: 67 ISSN: 0025-6196 ISO Abbreviation: Mayo Clin. Proc. Publication Date: 1992 Aug |
Date Detail:
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Created Date: 1992-12-10 Completed Date: 1992-12-10 Revised Date: 2007-10-29 |
Medline Journal Info:
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Nlm Unique ID: 0405543 Medline TA: Mayo Clin Proc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 761-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Pathology and Laboratory Medicine, University of Kentucky College of Medicine, Lexington 40507-2103. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteritis
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complications*,
pathology Autopsy Churg-Strauss Syndrome / complications, pathology, physiopathology* Coronary Disease / complications*, pathology Death, Sudden, Cardiac / etiology* Eosinophilia / complications*, pathology Female Hematoma / complications*, pathology Humans Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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