Recurrent Variant Angina Pectoris due to Behcet's Syndrome

Abstract

We report a case of recurrent variant angina pectoris which occurred even while receiving antispastic treatment. Coronary angiography revealed no obvious lesion. Behçet's syndrome was diagnosed based on recurrent oral aphthous and genital ulcer as well as skin manifestation. After treatment with immunosuppressant, neither angina nor oral ulcer relapsed. We strongly believe that the variant angina is due to coronary vasospasm induced by Behçet's syndrome in this patient.

A case of Henoch-Schönlein purpura with cardiopulmonary involvement

“…11 Such phenomenon was observed in several other vasculitic conditions, and was reviewed in several case reports. [12][13][14] Another postulated mechanism of the myocardial ischemia in our patient could be related to the acute arterial thrombosis that was associated with the presence of antiphospholipid antibodies that were sometimes found in patients with HSP. 15 The antiphospholipid antibodies however was negative in our patient.…”

“…13 Although there is evidence on the effectiveness of steroid in treating abdominal pain and joint pain in HSP, there is no good evidence demonstrating the effectiveness of long term steroid or other immunosuppressive therapy in the treatment or prevention of nephritis in HSP patients. 14 Much less is our experience in the treatments of HSP with other organs involvement, with only case reports are available. Our strategy in the treatment of HSP with extra-renal involvement derived primarily from our experience of other systemic collagen vascular condition such as systemic lupus erythematosus (SLE).…”