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A Case of Cogan's Syndrome With Angina
Jong Sang Kim1, Ja Be Park, Jung Chul Joo
1Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center, Seoul Adventist Hospital, Seoul, Korea.
Korean Circulation Journal
|January 27, 2011
Insights
Cogan
Area of Science:
- Rheumatology
- Cardiology
- Ophthalmology
Background:
- Cogan's syndrome is a rare systemic inflammatory disease.
- Diagnosis relies on characteristic inner ear and ocular inflammation, alongside large vessel vasculitis.
- Aortitis can manifest as a complication, potentially affecting coronary arteries.
Purpose of the Study:
- To present a case of Cogan's syndrome presenting with cardiac symptoms.
- To highlight the link between aortitis in Cogan's syndrome and coronary ostial stenosis.
- To emphasize the importance of considering cardiac involvement in Cogan's syndrome.
Main Methods:
- Case report detailing clinical presentation, diagnostic workup, and management.
- Review of relevant literature on Cogan's syndrome and its cardiovascular manifestations.
Main Results:
- The patient presented with stable angina.
- Coronary ostial stenosis was identified as the cause of angina.
- Aortitis secondary to Cogan's syndrome was confirmed as the underlying pathology.
Conclusions:
- Cogan's syndrome can lead to significant cardiovascular complications, including coronary ostial stenosis due to aortitis.
- Early recognition and management of cardiac involvement are crucial for patients with Cogan's syndrome.
- This case underscores the systemic nature of Cogan's syndrome and its potential impact on major arteries.
Abstract:
Cogan's syndrome is a rare systemic inflammatory disease and can be diagnosed on the basis of typical inner ear and ocular involvement with the presence of large vessel vasculitis. We report a case of Cogan's syndrome with stable angina resulting from coronary ostial stenosis caused by aortitis.
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