Acute Coronary Syndrome Caused by Coronary Vasospasms Associated with Churg-Strauss Syndrome: Effects of Betamethasone Therapy

Yuji Suzuki, Osamu Nishiyama, Toshiaki Sakai, Masanobu Niiyama, Tomonori Itoh, Motoyuki Nakamura
2014 Internal medicine (Tokyo. 1992)  
A 42-year-old woman with a history of aspirin-induced asthma was admitted with severe chest pain. Emergency coronary angiography revealed coronary artery spasms. The administration of vasodilators did not suppress the anginal symptoms, and the differential white blood cell count continued to show eosinophilia. The patient's symptoms of aspirin-induced asthma, eosinophilia and other allergic states led to the diagnosis of Churg-Strauss syndrome (CSS). After starting betamethasone therapy, the
more » ... one therapy, the eosinophilia and cardiac symptoms rapidly disappeared. Although coronary vasospasms related to CSS are rare, the present case suggests that a differential white blood cell count should be obtained in patients with refractory coronary vasospasms.
doi:10.2169/internalmedicine.53.0446 pmid:24694483 fatcat:vthkbqhcmrd4dhhlec7e7uvwpy