Abstract
©2013 Turkish League Against Rheumatism. All rights reserved. Bu yazida astim ve plevral efuzyon oykusu ve gogus agrisi ile acil servisimize basvuran 35 yasinda bir kadin olgu sunuldu. Laboratuvar bulgularinda, elektrokardiyografide ST segment ve T dalgasinda (ST-T) anlamli bir degisiklik olmaksizin, kardiyak biyobelirtec [(troponin I (TnI) ve kreatin kinaz-MB izoenzim (CK-MB)] duzeylerinde artis goruldu. Transtorasik ekokardiyografide %48 ejeksiyon fraksiyonu ile on duvarda hipokinezi ve minimal perikardiyal efuzyon izlendi. Koroner anjiyografide ise, sol on inen koroner arter distalinde tikaniklik saptandi. Akut koroner sendromla birlikte seyreden ChurgStrauss syndrome tanisi konuldu. Hastaya sistemik kortikosteroid tedavisi baslandi. Tedaviyi takiben herhangi bir olay gorulmeden iyilesme gozlendi.
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