Coronary involvement in Churg-Strauss syndrome: A case report with CT findings

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Abstract

We report a case of Churg-Strauss syndrome (CSS) associated with coronary artery involvement, as demonstrated on coronary CT angiography (CCTA), without specific cardiac symptoms. A 69-year-old male had an 8-year history of bronchial asthma and chronic sinusitis with hypereosinophilia (35 %), polyneuropathy, and a positive antineutrophil cytoplasmic antibody titer, so he was diagnosed with CSS. The patient had no specific cardiac symptoms, but CCTA showed vasculitis and a saccular aneurysm involving the proximal coronary arteries. The 3-year follow-up CCTA demonstrated an increase in the extent of soft-tissue wall thickening and infiltration involving the coronary arteries. Although vasculitis of the major coronary arteries is not a prominent feature of CSS, our case suggests that the coronary arteries may also be targeted in this syndrome.

Original languageEnglish
Pages (from-to)819-822
Number of pages4
JournalJapanese Journal of Radiology
Volume31
Issue number12
DOIs
Publication statusPublished - 2013 Dec

Keywords

  • Churg-Strauss syndrome
  • Computed tomography
  • Coronary artery disease
  • Vasculitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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