Coronary artery aneurysms in Wegener’s granulomatosis - 04/05/11
![](/templates/common/images/mail.png)
![](/templates/common/images/entites/204e.gif)
pages | 3 |
Iconographies | 2 |
Vidéos | 0 |
Autres | 0 |
Abstract |
Atherosclerosis is the main cause of coronary artery aneurysm, however they can be observed in connective tissue diseases such as systemic lupus erythematosus and vasculitis. Kawasaki’s disease and polyarteritis nodosa (PAN) are the systemic vasculitis that more often present coronary artery aneurysms. There are descriptions in the literature that small vessel vasculitis such as microscopic polyangiitis and PAN could develop coronary artery aneurysm, which are infrequent in other ANCA-associated vasculitis. Here, we report the case of a 25-year-old man who developed an extensive anterior myocardial infarct. The coronary angiogram showed coronary artery aneurysms, on laboratory ANCA C positivity with elevated levels of anti-proteinase 3 antibodies were present. He was treated with high doses of corticosteroids and cyclophosphamide with resolution of the aneurysms.
Le texte complet de cet article est disponible en PDF.Keywords : ANCA-associated vasculitis, Wegener’s granulomatosis, Coronary artery aneurysms, Cyclophosphamide, Myocardial infarct
Plan
Vol 78 - N° 3
P. 309-311 - mai 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?