ST Elevation Myocardial Infarction as Presenting Feature of C-ANCA Vasculitis: A Case of a Diagnostic Dilemma
  • Abdulrahman S Museedi
    Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA
  • Mouhamed Nashawi
    Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA
  • Abdullah Ghali
    Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA
  • Ali Hussein
    Department of Rheumatology University of Texas Health Science Center, San Antonio, TX, USA
  • James Saca
    Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA

Keywords

Vasculitis, C-ANCA, ST elevation myocardial infarction

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). Although uncommon, it should be included in the differential diagnosis for middle-aged patients without elevated atherosclerotic vascular disease risk or a family history of cardiovascular disease. SCAD is associated with postpartum women; however, reports noting its association with autoimmune disease and vasculopathy in other populations have recently gained prominence. We report a case of a 41-year-old male who was found to have SCAD after presenting with ST segment elevation myocardial infarction in the context of episodic vision loss, and who later underwent work-up for C-ANCA vasculitis and was successfully treated with corticosteroids.

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    Published: 2020-05-26
    Issue: 2020: Vol 7 No 8 (view)

    How to cite:
    1.
    Museedi AS, Nashawi M, Ghali A, Hussein A, Saca J. ST Elevation Myocardial Infarction as Presenting Feature of C-ANCA Vasculitis: A Case of a Diagnostic Dilemma. EJCRIM 2020;7 doi:10.12890/2020_001658.