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

Myokardinfarkt durch Koronarthrombose bei einem Patienten mit Purpura Schönlein-Henoch

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Abstract

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.

Zusammenfassung

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.

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References

  1. Rai A, Nast C, Adler S (1999) Henoch-Schonlein purpura nephritis. J Am Soc Nephrol 10:2637–2644

    PubMed  CAS  Google Scholar 

  2. Agraharkar M, Gokhale S, Le L et al (2000) Cardiopulmonary manifestations of Henoch-Schonlein purpura. Am J Kidney Dis 35:319–322

    Article  PubMed  CAS  Google Scholar 

  3. Osman A, McCreery CJ (2000) Cardiac vasculitis in Henoch-Schonlein purpura. Circulation 101:E69–70

    Article  PubMed  CAS  Google Scholar 

  4. Abdel-Hadi O, Greenstone MA, Hartley RB, Kidner PH (1981) Myocardial infarction – a rare complication in Henoch-Schonlein purpura. Postgrad Med J 57:390–392

    Article  PubMed  CAS  Google Scholar 

  5. Eleftheriadis D (2007) Severe coronary artery disease in the setting of Henoch-Schoenlein purpura. Int J Cardiol 118:262–263

    Article  PubMed  CAS  Google Scholar 

  6. Kannel WB, Abbott RD (1984) Incidence and prognosis of unrecognized myocardial infarction. An update on the Framingham study. N Engl J Med 311:1144–1147

    Article  PubMed  CAS  Google Scholar 

  7. Choudhury L, Marsh JD (1999) Myocardial infarction in young patients. Am J Med 107:254–261

    Article  PubMed  CAS  Google Scholar 

  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 326:242–250

    Article  PubMed  CAS  Google Scholar 

  9. Davies MJ (2000) The pathophysiology of acute coronary syndromes. Heart 83:361–366

    Article  PubMed  CAS  Google Scholar 

  10. Osula S, Bell GM, Hornung RS (2002) Acute myocardial infarction in young adults: causes and management. Postgrad Med J 78:27–30

    Article  PubMed  CAS  Google Scholar 

  11. Providencia R, Mota P, Pais JR, Leitao-Marques AM (2007) Acute myocardial infarction in the puerperium. A case report. Rev Port Cardiol 26:149–158

    PubMed  Google Scholar 

  12. Maeder M, Ammann P, Angehrn W, Rickli H (2005) Idiopathic spontaneous coronary artery dissection: incidence, diagnosis and treatment. Int J Cardiol 101:363–369

    Article  PubMed  Google Scholar 

  13. Karrar A, Sequeira W, Block JA (2001) Coronary artery disease in systemic lupus erythematosus: a review of the literature. Semin Arthritis Rheum 30:436–443

    Article  PubMed  CAS  Google Scholar 

  14. Joensuu H (1989) Acute myocardial infarction after heart irradiation in young patients with Hodgkin’s disease. Chest 95:388–390

    Article  PubMed  CAS  Google Scholar 

  15. El Menyar AA (2006) Drug-induced myocardial infarction secondary to coronary artery spasm in teenagers and young adults. J Postgrad Med 52:51–56

    Google Scholar 

  16. Doughty M, Mehta R, Bruckman D et al (2002) Acute myocardial infarction in the young – The University of Michigan experience. Am Heart J 143:56–62

    Article  PubMed  Google Scholar 

  17. Dhawan S, Tak T (2004) Myocardial infarction in a patient with thrombotic thrombocytopenic purpura. Int J Cardiol 95:339–341

    Article  PubMed  Google Scholar 

  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:e574–651

    Article  PubMed  Google Scholar 

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Conflict of Interest

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

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Correspondence to U. Canpolat M.D..

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Canpolat, U., Yorgun, H., Şahiner, L. et al. Myocardial infarction due to coronary thrombosis in a patient with Henoch–Schönlein purpura. Herz 37, 801–803 (2012). https://doi.org/10.1007/s00059-012-3597-x

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  • DOI: https://doi.org/10.1007/s00059-012-3597-x

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