PT  - JOURNAL ARTICLE
AU  - Juergen Schiefermueller
AU  - Bashir Alaour
AU  - Alison Calver
AU  - Nick Curzen
TI  - Lesson of the month 1: Beware the atypical presentation: eosinophilic granulomatosis with polyangiitis presenting as acute coronary syndrome
AID  - 10.7861/clinmedicine.17-2-180
DP  - 2017 Apr 01
TA  - Clinical Medicine
PG  - 180--182
VI  - 17
IP  - 2
4099  - http://www.rcpjournals.org/content/17/2/180.short
4100  - http://www.rcpjournals.org/content/17/2/180.full
SO  - Clin Med2017 Apr 01; 17
AB  - We describe the case of a 45-year-old woman presenting with troponin positive cardiac-sounding chest pain. An initial emergency angiogram demonstrated two vessel coronary disease, including a distal right coronary artery occlusion. No percutaneous coronary intervention was performed and the patient was treated medically. At re-presentation with further pain a few days later, coronary angiography demonstrated no significant coronary lesions. After consideration of other multisystem symptoms and raised eosinophil count, the patient was diagnosed with eosinophilic granulomatosis with polyangiitis (formerly known as Churg-Strauss syndrome) presenting with coronary arteritis. This case should remind physicians to be vigilant and to consider non-atherosclerotic causes of acute coronary syndrome presentation, which should not always result in a stent.