High-risk non-ST-elevation acute coronary syndrome as a severe clinical manifestation of Cogan's Syndrome
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Keywords

Cogan
Inflammatory disease
Vasculitis
Aortitis

Categories

How to Cite

1.
Barros López L, Giménez Lecina J, Requesens Solera M, Noblejas Drouot S, Barrera Sánchez M, Muñoz Marco JJ. High-risk non-ST-elevation acute coronary syndrome as a severe clinical manifestation of Cogan’s Syndrome. Rev Arg de Ter Int. [Internet]. 2024 Jun. 3 [cited 2024 Jul. 3];41(mayo). Available from: https://revista.sati.org.ar/index.php/MI/article/view/892

Abstract

Cogan's syndrome is a rare inflammatory pathology that usually presents with ocular and vestibulocochlear symptoms, but in a low percentage of patients it can be associated with systemic manifestations vasculitis-like. The treatment of this syndrome is not clear and is based on immunosuppressive regimens similar to those of other autoimmune diseases. When it presents with severe manifestations such as acute coronary syndrome with a possible indication for surgery, best time for the invasive procedure is unkown. We present the case of a patient with Cogan's syndrome and aortitis that caused significant extrinsic compression of the left main coronary artery, as well as its evolution, treatment, and review of the currently available literature.
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References

Tayer-Shifman, O.E., Ilan, O., Tovi, H. et al. (2014). Cogan's Syndrome—Clinical Guidelines and Novel Therapeutic Approaches. Clinical Reviews in Allergy & Immunology, 47, 65–72. https://doi.org/10.1007/s12016-013-8406-7.

Gluth, M.B., Baratz, K.H., Matteson, E.L., & Driscoll, C.L. (2006). Cogan syndrome: A retrospective review of 60 patients throughout a half century. Mayo Clinic Proceedings, 81(4), 483-488. https://doi.org/10.4065/81.4.483.

Grasland, A., Pouchot, J., Hachulla, E., Blétry, O., Papo, T., & Vinceneux, P. (2004). Typical and atypical Cogan's syndrome: 32 cases and review of the literature. Rheumatology, 43(8), 1007-1015. https://doi.org/10.1093/rheumatology/keh228.

Unizony, S., Stone, J.H., & Stone, J.R. (2013). New treatment strategies in large-vessel vasculitis. Current Opinion in Rheumatology, 25(1), 3-9. https://doi.org/10.1097/BOR.0b013e32835b133a.

Mazlumzadeh, M., & Matteson, E.L. (2007). Cogan's syndrome: An audiovestibular, ocular, and systemic autoimmune disease. Rheumatic Disease Clinics of North America, 33(4), 855-874. https://doi.org/10.1016/j.rdc.2007.07.015.

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Copyright (c) 2024 Lucas Barros López, Jessica Giménez Lecina, Mónica Requesens Solera, Sara Noblejas Drouot, María Barrera Sánchez , José Javier Muñoz Marco