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So H, Yip ML
Correspondence: Dr Ho So, h99097668@hotmail.com
ABSTRACT
We report the case of a 41-year-old Chinese woman with Behçet’s disease (BD) complicated by acute myocardial infarction, requiring inotropic and ventilatory support. Angiography showed critical left anterior descending coronary artery stenosis, a blocked left subclavian artery and left carotid artery stenosis. The patient was successfully treated with a high dose of immunosuppressants, standard anti-ischaemic therapy and percutaneous coronary intervention. Although life-threatening, coronary arteritis is a treatable manifestation of BD. We suggest that the diagnosis of coronary arteritis be considered in patients with BD who present with chest pain. Involvement of other arteries should also be looked out for in these patients.
Keywords: acute myocardial infarction, Behçet’s disease, coronary arteritis, large vessel arteritis, left subclavian artery occlusion
Singapore Med J 2014; 55(9): e145-e147; http://dx.doi.org/10.11622/smedj.2014128
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