@article{ajmcr2020896,
author={{Chowdhury, Yuvraj Singh and Abdul, Rishard and Kariyanna, Pramod Theetha and Jayarangaiah, Apoorva and Shetty, Mrinali and Wilson, Clara and Kabani, Naureen and Marmur, Jonathan D. and Feit, Alan and Salifu, Moro O. and McFarlane, Isabel M.},
title={Dilated Psoriatic Coronopathy: A Novel Association},
journal={American Journal of Medical Case Reports},
volume={8},
number={9},
pages={277--280},
year={2020},
url={http://pubs.sciepub.com/ajmcr/8/9/6},
issn={2374-216X},
abstract={Coronary artery ectasia (CAE) is defined by the Coronary Artery Surgery Study (CASS) registry as the aneurysmal dilatation 1.5 times the diameter of a coronary artery compared to the adjacent normal coronary artery. CAE is reported with a prevalence of 1.2% - 4.9%. Most CAEs are attributed to atherosclerosis or post-percutaneous coronary intervention (PCI) vessel injury. Vasculitides and infection are uncommon etiologies. A review of 59,423 patients from the Danish registry demonstrated a 3-fold increase in the prevalence of abdominal aortic aneurysms in patients with concomitant severe psoriasis. We present a case of a 64-year-old male with severe plaque psoriasis complaining of substernal chest pain whose coronary angiography demonstrated CAE of the left anterior descending and circumflex arteries. Due to its pro-inflammatory state, psoriasis is associated with various systemic manifestations including cardiac and vascular complications. With possibly a similar underlying pathophysiological mechanism, we describe to the best of our knowledge the first case of CAE in a patient with severe psoriasis.},
doi={10.12691/ajmcr-8-9-6}
publisher={Science and Education Publishing}
}