, Volume 37, Issue 7, pp 801–803 | Cite as

Myocardial infarction due to coronary thrombosis in a patient with Henoch–Schönlein purpura

  • U. CanpolatEmail author
  • H. Yorgun
  • L. Şahiner
  • G. Kabakçi
Case study


Henoch–Schönlein purpura (HSP) is characterized by vasculitic involvement of small-sized vessels and results in multisystem manifestations. Cardiac involvement is extremely rare and myocardial infarction with coronary thrombus formation in those patients has also rarely been reported. Herein, we report a 33-year-old man with acute myocardial infarction due to coronary thrombus formation and HSP.


Purpura, Henoch–Schoenlein  Myocardial infarction Thrombus Vasculitis Glomerulonephritis 

Myokardinfarkt durch Koronarthrombose bei einem Patienten mit Purpura Schönlein-Henoch


Die Purpura Schönlein-Henoch (PSH) ist gekennzeichnet durch eine Vaskulitis kleinkalibriger Gefäße und manifestiert sich multisystemisch. Eine kardiale Beteiligung ist extrem selten, auch ein Myokardinfarkt mit Thrombusbildung bei PSH wurde nur selten dokumentiert. Wir berichten von einem Patienten mit durch einen Thrombus und PSH bedingten akuten Myokardinfarkt.


Purpura Schönlein-Henoch  Myokardinfarkt Thrombus Vaskulitis Glomerulonephritis 


Conflict of Interest

This article was not funded by any institution. The corresponding author states that there are no conflicts of interest.


  1. 1.
    Rai A, Nast C, Adler S (1999) Henoch-Schonlein purpura nephritis. J Am Soc Nephrol 10:2637–2644PubMedGoogle Scholar
  2. 2.
    Agraharkar M, Gokhale S, Le L et al (2000) Cardiopulmonary manifestations of Henoch-Schonlein purpura. Am J Kidney Dis 35:319–322PubMedCrossRefGoogle Scholar
  3. 3.
    Osman A, McCreery CJ (2000) Cardiac vasculitis in Henoch-Schonlein purpura. Circulation 101:E69–70PubMedCrossRefGoogle Scholar
  4. 4.
    Abdel-Hadi O, Greenstone MA, Hartley RB, Kidner PH (1981) Myocardial infarction – a rare complication in Henoch-Schonlein purpura. Postgrad Med J 57:390–392PubMedCrossRefGoogle Scholar
  5. 5.
    Eleftheriadis D (2007) Severe coronary artery disease in the setting of Henoch-Schoenlein purpura. Int J Cardiol 118:262–263PubMedCrossRefGoogle Scholar
  6. 6.
    Kannel WB, Abbott RD (1984) Incidence and prognosis of unrecognized myocardial infarction. An update on the Framingham study. N Engl J Med 311:1144–1147PubMedCrossRefGoogle Scholar
  7. 7.
    Choudhury L, Marsh JD (1999) Myocardial infarction in young patients. Am J Med 107:254–261PubMedCrossRefGoogle Scholar
  8. 8.
    Fuster V, Badimon L, Badimon JJ, Chesebro JH (1992) The pathogenesis of coronary artery disease and the acute coronary syndromes (1). N Engl J Med 326:242–250PubMedCrossRefGoogle Scholar
  9. 9.
    Davies MJ (2000) The pathophysiology of acute coronary syndromes. Heart 83:361–366PubMedCrossRefGoogle Scholar
  10. 10.
    Osula S, Bell GM, Hornung RS (2002) Acute myocardial infarction in young adults: causes and management. Postgrad Med J 78:27–30PubMedCrossRefGoogle Scholar
  11. 11.
    Providencia R, Mota P, Pais JR, Leitao-Marques AM (2007) Acute myocardial infarction in the puerperium. A case report. Rev Port Cardiol 26:149–158PubMedGoogle Scholar
  12. 12.
    Maeder M, Ammann P, Angehrn W, Rickli H (2005) Idiopathic spontaneous coronary artery dissection: incidence, diagnosis and treatment. Int J Cardiol 101:363–369PubMedCrossRefGoogle Scholar
  13. 13.
    Karrar A, Sequeira W, Block JA (2001) Coronary artery disease in systemic lupus erythematosus: a review of the literature. Semin Arthritis Rheum 30:436–443PubMedCrossRefGoogle Scholar
  14. 14.
    Joensuu H (1989) Acute myocardial infarction after heart irradiation in young patients with Hodgkin’s disease. Chest 95:388–390PubMedCrossRefGoogle Scholar
  15. 15.
    El Menyar AA (2006) Drug-induced myocardial infarction secondary to coronary artery spasm in teenagers and young adults. J Postgrad Med 52:51–56Google Scholar
  16. 16.
    Doughty M, Mehta R, Bruckman D et al (2002) Acute myocardial infarction in the young – The University of Michigan experience. Am Heart J 143:56–62PubMedCrossRefGoogle Scholar
  17. 17.
    Dhawan S, Tak T (2004) Myocardial infarction in a patient with thrombotic thrombocytopenic purpura. Int J Cardiol 95:339–341PubMedCrossRefGoogle Scholar
  18. 18.
    Levine GN, Bates ER, Blankenship JC et al (2011) ACCF/AHA/SCAI Guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation 124:e574–651PubMedCrossRefGoogle Scholar

Copyright information

© Urban & Vogel, Muenchen 2012

Authors and Affiliations

  • U. Canpolat
    • 1
    Email author
  • H. Yorgun
    • 2
  • L. Şahiner
    • 1
  • G. Kabakçi
    • 1
  1. 1.Department of CardiologyHacettepe University Faculty of MedicineAnkaraTurkey
  2. 2.Develi State HospitalKayseriTurkey

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