Giant Coronary Artery Aneurysm with Thrombosis Complicated in a Patient with Idiopathic Hypereosinophilic Syndrome
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Idiopathic hypereosinophilic syndrome (iHES) is a rare systemic disease that is characterized by persistent peripheral eosinophilia (absolute eosinophil count ≥1500/uL) for more than 6 months, with end-organ damage and absence of a primary cause for eosino philia. Coronary artery aneurysm (CAA) is a rare but life-threatening complication. Here, we report a case of CAA with thrombosis in a patient with iHES in whom the disease activity was well-controlled (eosinophil count <500/uL) for several years. Despite mod est control of the disease activity, giant CAA can be associated with iHES; and therefore, close surveillance and monitoring for the development of complications is warranted.
Abstract
Idiopathic hypereosinophilic syndrome (iHES) is a rare systemic disease that is characterized by persistent peripheral eosinophilia (absolute eosinophil count ≥1500/uL) for more than 6 months, with end-organ damage and absence of a primary cause for eosino philia. Coronary artery aneurysm (CAA) is a rare but life-threatening complication. Here, we report a case of CAA with thrombosis in a patient with iHES in whom the disease activity was well-controlled (eosinophil count <500/uL) for several years. Despite mod est control of the disease activity, giant CAA can be associated with iHES; and therefore, close surveillance and monitoring for the development of complications is warranted.
참고문헌 (9)
- Roufosse F, "Practical approach to the patient with hypereosinophilia", J Allergy Clin Immunol, 126, pp.39~44 (2010)
- Ogbogu PU, "Cardiovascular manifestations of hypereosinophilic syndromes", Immunol Allergy Clin North Am, 27, pp.457~475 (2007)
- Puri R, "Hypereosinophilic syndrome associated with multiple coronary aneurysms", Int J Cardiol, 133, pp.e43~e45 (2009)
- Jeudy J, "Spectrum of coronary artery aneurysms : from the radiologic pathology archives", Radiographics, 38, pp.11~36 (2018)
- Okinaka T, "Coexistence of giant aneurysm of sinus of Valsalva and coronary artery aneurysm associated with idiopathic hypereosinophilic syndrome", Heart, 84, pp.E7~ (2000)
- Poommipanit PB, "Eosinophilic arteritis with coronary aneurysms and stenoses", J Invasive Cardiol, 17, pp.266~269 (2005)
- Divanji P, "Coronary arteries and the cell count", Circulation, 139, pp.1228~1233 (2019)
- Fukata M, "Coronary and peripheral artery aneurysms in a patient with hypereosinophilia", Heart Asia, 4, pp.54~55 (2012)
- Leru PM, "Eosinophilic disorders : evaluation of current classification and diagnostic criteria, proposal of a practical diagnostic algorithm", Clin Transl Allergy, 9, pp.36~ (2019)