科根综合征合并复发性冠状动脉狭窄的病例报告

IF 2.8 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Frontiers in Cardiovascular Medicine Pub Date : 2024-09-12 DOI:10.3389/fcvm.2024.1451113

Gao Na, Zhang Nan, Meng Jingjing, Pan Lili

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引用次数: 0

摘要

科根综合征（Cogan's Syndrome，CS）被认为是一种可变性血管炎。本报告介绍了一名中年女性的病例，她反复出现冠状动脉狭窄，并伴有非梅毒性角膜炎病史、前庭听觉症状和静脉血栓形成。正电子发射断层扫描/计算机断层扫描显示，锁骨下动脉、颈总动脉、主动脉弓和胸主动脉的（18）F-氟脱氧葡萄糖摄取量升高。诊断结果为科根综合征。本研究旨在提高临床医生对 CS 血管表现的认识，并强调全面采集病史的重要性。当患者出现反复冠状动脉狭窄时，应将 CS 列入鉴别诊断。

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A case report of Cogan's syndrome with recurrent coronary stenosis

Cogan's syndrome (CS) is recognized as a form of variable vasculitis. This report presents the case of a middle-aged woman experiencing recurrent coronary artery stenosis, accompanied by a history of non-syphilis keratitis, vestibular auditory symptoms, and venous thrombosis. Positron emission tomography/computed tomography revealed an elevated uptake of (18)F-fluorodeoxyglucose in the subclavian artery, common carotid artery, aortic arch, and thoracic aorta. A diagnosis of Cogan's syndrome was made. The aim of this study was to increase clinicians’ awareness of the vascular manifestations in CS and to emphasize the importance of thorough history taking. CS should be included in the differential diagnosis when patients present with recurrent coronary artery stenosis.

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来源期刊

Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.80

自引率

11.10%

发文量

3529

审稿时长

14 weeks

期刊介绍： Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.