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Soonchunhyang Med Sci > Volume 26(2); 2020 > Article
Soonchunhyang Medical Science 2020;26(2): 67-70. doi: https://doi.org/10.15746/sms.20.017
Coronary Artery Vasospasm with Acute Myocarditis in an Adolescent
Yoo Ra Jung, Sun Hyang Lee
Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
Corresponding Author: Sun Hyang Lee ,Tel: +82-32-621-5420, Fax: +82-32-621-5018, Email: hdsunhyang80@hanmail.net
Received: July 7, 2020;  Accepted: October 20, 2020.
ABSTRACT
A 13-year-old boy had a 5-day history of prodromal symptoms of fever and dry cough followed by two episodes of severe anginal chest pain and substantial transient ST-segment elevation. A subsequent evaluation showed that the chest pain was caused by coronary artery vasospasm complicating acute myocarditis. We report a rare case of coronary artery vasospasm in an adolescent with a medical history of Raynaud’s phenomenon who was successfully treated with intravenous immunoglobulin and a calcium channel blocker. This report exemplifies the need for pediatricians to be aware that anginal pain due to coronary artery spasm can, albeit rarely, occur in children as a complication of myocarditis, sometimes as a concomitant feature in patients with Raynaud’s phenomenon; in suspected cases, serial electrocardiography is important to perform.
Key words: Adolescent; Coronary vasospasm; Myocarditis; Raynaud disease
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