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Lesson of the month 1: Beware the atypical presentation: eosinophilic granulomatosis with polyangiitis presenting as acute coronary syndrome

Juergen Schiefermueller, Bashir Alaour, Alison Calver and Nick Curzen
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DOI: https://doi.org/10.7861/clinmedicine.17-2-180
Clin Med April 2017
Juergen Schiefermueller
APapworth Hospital, Cambridge, UK
Roles: interventional fellow
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  • For correspondence: juergen@schiefermueller.com
Bashir Alaour
BUniversity Hospital Southampton, Southampton, UK
Roles: specialist registrar in cardiology
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Alison Calver
CUniversity Hospital Southampton, Southampton, UK
Roles: consultant cardiologist
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Nick Curzen
DUniversity Hospital Southampton, Southampton, UK
Roles: professor of interventional cardiology
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    Fig 1.

    Initial coronary angiogram. A – left anterior oblique projection of the right coronary artery showing occlusion of the posterior descending artery branch in its mid-course (arrow); B – anterior-posterior projection with cranial angulation showing a moderate to severe appearing lesion in the mid-course of the left anterior descending artery (arrow).

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    Fig 2.

    Repeat coronary angiogram 5 days later. A – left anterior oblique projection of the right coronary artery now showing wide patency of the posterior descending artery branch; B – left anterior oblique projection with cranial angulation now showing only minor luminal irregularities in the left anterior descending artery.

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    Fig 3.

    Cardiac magnetic resonance imaging shows patchy mid-wall late enhancement (arrows) following gadolinium contrast administration as a result of eosinophilic granulomatous myocarditis.

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Lesson of the month 1: Beware the atypical presentation: eosinophilic granulomatosis with polyangiitis presenting as acute coronary syndrome
Juergen Schiefermueller, Bashir Alaour, Alison Calver, Nick Curzen
Clinical Medicine Apr 2017, 17 (2) 180-182; DOI: 10.7861/clinmedicine.17-2-180

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Lesson of the month 1: Beware the atypical presentation: eosinophilic granulomatosis with polyangiitis presenting as acute coronary syndrome
Juergen Schiefermueller, Bashir Alaour, Alison Calver, Nick Curzen
Clinical Medicine Apr 2017, 17 (2) 180-182; DOI: 10.7861/clinmedicine.17-2-180
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