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Samter–Beer triad presenting as Kounis type I variant of syndrome

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Kounis syndrome (KS) was first described in 1991 by Kounis and Zavras. It has been established as an acute coronary syndrome triggered by allergic or hypersensitivity reactions resulting in mast… Click to show full abstract

Kounis syndrome (KS) was first described in 1991 by Kounis and Zavras. It has been established as an acute coronary syndrome triggered by allergic or hypersensitivity reactions resulting in mast cell and platelet activation. Various causes have been found to trigger KS including drugs, various conditions (bronchial asthma, urticarial, food allergy), environmental exposure and stent implantation. Clinical manifestations of Kounis syndrome include the spectrum of acute coronary syndromes, including coronary spasm, acute myocardial infarction (MI), or stent thrombosis. KS is an infrequently diagnosis among patients with MI. Herein, we report a case of Kounis syndrome in the setting of Samter-Beer triad of asthma, nasal polyps, and aspirin allergy.

Keywords: kounis; beer triad; samter beer; syndrome

Journal Title: Journal of the Saudi Heart Association
Year Published: 2018

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