[19-year-old asthma patient with pronounced eosinophilia and acute coronary syndrome].

Abstract

Diagnosis of Churg-Strauss syndrome should be considered in young asthmatics with fatigue and eosinophilia. On the base of the etiopathology of a 19-year old man, who was initially admitted because of dyspnoea, fever and acute chest pain, we show that eosinophilia gives an important hint for further diagnostic and is the key trend parameter. Histologically an eosinophilic myocarditis could be shown in the myocardial biopsy. High dose prednisolone induced a clear improvement in symptoms, with decrease of the inflammatory signs and the eosinophilia and a clear improvement of the left ventricular function.

• Authors: A Tränkner, N Hass, G Simonis, R Braun-Dullaeus, K Geiger, R H Strasser
• Journal: Der Internist (Internist (Berl)) Vol. 52 Issue 12 Pg. 1479-83 (Dec 2011) ISSN: 1432-1289 [Electronic] Germany
• Vernacular Title: 19-jähriger Asthmatiker mit ausgeprägter Eosinophilie und akutem Koronarsyndrom.
• PMID: 21505837 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Acute Coronary Syndrome (diagnosis)
• Asthma (complications, diagnosis)
• Churg-Strauss Syndrome (diagnosis)
• Diagnosis, Differential
• Eosinophilia (diagnosis)
• Humans
• Male
• Young Adult