• Yonsei medical journal · Feb 2023

    Case Reports

    Giant Coronary Artery Aneurysm with Thrombosis Complicated in a Patient with Idiopathic Hypereosinophilic Syndrome.

    • Noeul Kang, Ki Hong Choi, Sung Mok Kim, Duk-Kyung Kim, Kiick Sung, and Dong-Chull Choi.
    • Division of Allergy, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
    • Yonsei Med. J. 2023 Feb 1; 64 (2): 148151148-151.

    AbstractIdiopathic hypereosinophilic syndrome (iHES) is a rare systemic disease that is characterized by persistent peripheral eosinophilia (absolute eosinophil count ≥1500/uL) for more than 6 months, with end-organ damage and absence of a primary cause for eosinophilia. Coronary artery aneurysm (CAA) is a rare but life-threatening complication. Here, we report a case of CAA with thrombosis in a patient with iHES in whom the disease activity was well-controlled (eosinophil count <500/uL) for several years. Despite modest control of the disease activity, giant CAA can be associated with iHES; and therefore, close surveillance and monitoring for the development of complications is warranted.© Copyright: Yonsei University College of Medicine 2023.

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