CORONARY INVOLVEMENT IN THE CHURG-STRAUSS-SYNDROME

The Churg-Strauss syndrome (CSS) is a rare systemic disease characteri sed by vasculitis and peripheral eosinophilia in patients with an atop ic constitution. Cardiac involvement is an important cause of morbidit y and mortality yet coronary involvement is very rarely documented. We report the case of a 38 year old man presenting with fulminant heart failure. Coronary arteriography demonstrated extensive focal vasculopa thy consistent with vasculitis. The diagnosis of CSS was established b ased upon the classical diagnostic criteria and corticosteroid treatme nt resulted in a spectacular remission of disease activity.