Japanese Journal of Radiology

, Volume 31, Issue 12, pp 819–822

Coronary involvement in Churg–Strauss syndrome: a case report with CT findings

Case Report

DOI: 10.1007/s11604-013-0257-x

Cite this article as:
Doo, K.W., Yong, H.S. & Kang, EY. Jpn J Radiol (2013) 31: 819. doi:10.1007/s11604-013-0257-x

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.

Keywords

Churg–Strauss syndromeComputed tomographyCoronary artery diseaseVasculitis

Copyright information

© Japan Radiological Society 2013

Authors and Affiliations

  • Kyung Won Doo
    • 1
  • Hwan Seok Yong
    • 1
  • Eun-Young Kang
    • 1
  1. 1.Department of RadiologyKorea University Guro Hospital, Korea University College of MedicineSeoulKorea