ST Elevation Myocardial Infarction as Presenting Feature of C-ANCA Vasculitis: A Case of a Diagnostic Dilemma

Authors

• Abdulrahman S Museedi Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA
• Mouhamed Nashawi Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA
• Abdullah Ghali Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA
• Ali Hussein Department of Rheumatology University of Texas Health Science Center, San Antonio, TX, USA
• James Saca Department of Internal Medicine, University of Texas Health Science Center, San Antonio, TX, USA

museedi@uthscsa.edu

Keywords

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). Although uncommon, it should be included in the differential diagnosis for middle-aged patients without elevated atherosclerotic vascular disease risk or a family history of cardiovascular disease. SCAD is associated with postpartum women; however, reports noting its association with autoimmune disease and vasculopathy in other populations have recently gained prominence. We report a case of a 41-year-old male who was found to have SCAD after presenting with ST segment elevation myocardial infarction in the context of episodic vision loss, and who later underwent work-up for C-ANCA vasculitis and was successfully treated with corticosteroids.