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Isolated eosinophilic coronary arteritis
  1. Vincenzo Arena1,
  2. Luca Valerio1,
  3. Elisa Arena2,
  4. Fabio De-Giorgio2,
  5. Egidio Stigliano1,
  6. Giovanni Monego3,
  7. Arnaldo Capelli1
  1. 1Institute of Pathology, Università Cattolica del Sacro Cuore, Rome, Italy
  2. 2Institute of Legal Medicine, Università Cattolica del Sacro Cuore, Rome, Italy
  3. 3Institute of Anatomy, Università Cattolica del Sacro Cuore, Rome, Italy
  1. Correspondence to Vincenzo Arena, Institute of Pathology, Catholic University of Sacred Heart, L.go F.Vito, 1, 00168, Rome, Italy; vincenzo.arena{at}

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Coronary periarteritis with eosinophilic infiltrate is rare: it has been observed in hypereosinophilic syndromes or systemic vasculitis such as Churg–Strauss syndrome and Wegener's granulomatosis and in a limited form of Churg–Strauss syndrome (table 1), but a cryptogenic form of isolated eosinophilic coronary periarteritis has also been described,1–3 which is the most likely diagnosis in the case we report here.

A patient in his early 70s was taken to the emergency department of our university, but he was dead on arrival. He had no risk factors for cardiovascular disease, nor history of atopy, but had been recently diagnosed with unstable angina.

At autopsy, …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.