Yuvraj Singh Chowdhury1,
Rishard Abdul1,
Pramod Theetha Kariyanna1,
Apoorva Jayarangaiah2,
Mrinali Shetty3,
Clara Wilson1,
Naureen Kabani1,
Jonathan D. Marmur1,
Alan Feit1,
Moro O. Salifu1,
Isabel M. McFarlane1,
1Department of Internal Medicine, State University of New York, Downstate Health Sciences University, Brooklyn, N.Y, USA - 11203
2Department of Internal Medicine, Albert Einstein College of Medicine, NYC + HHC Jacobi Medical Center, 1400 Pelham Pkwy S, Bronx, NY, USA- 10461
3Division of Cardiovascular Disease and Department of Internal Medicine, University of Chicago- Northshore University Health Systems, Chicago, IL, USA - 60631
American Journal of Medical Case Reports.
2020,
Vol. 8 No. 9, 277-280
DOI: 10.12691/ajmcr-8-9-6
Copyright © 2020 Science and Education PublishingCite this paper: Yuvraj Singh Chowdhury, Rishard Abdul, Pramod Theetha Kariyanna, Apoorva Jayarangaiah, Mrinali Shetty, Clara Wilson, Naureen Kabani, Jonathan D. Marmur, Alan Feit, Moro O. Salifu, Isabel M. McFarlane. Dilated Psoriatic Coronopathy: A Novel Association.
American Journal of Medical Case Reports. 2020; 8(9):277-280. doi: 10.12691/ajmcr-8-9-6.
Correspondence to: Isabel M. McFarlane, Department of Internal Medicine, State University of New York, Downstate Health Sciences University, Brooklyn, N.Y, USA - 11203. Email:
Isabel.McFarlane@downstate.eduAbstract
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.
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