Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Acute Coronary Syndrome Caused by Coronary Vasospasms Associated with Churg-Strauss Syndrome: Effects of Betamethasone Therapy
Yuji SuzukiOsamu NishiyamaToshiaki SakaiMasanobu NiiyamaTomonori ItohMotoyuki Nakamura
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ジャーナル オープンアクセス

2014 年 53 巻 7 号 p. 717-720

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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 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.

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© 2014 by The Japanese Society of Internal Medicine
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