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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, …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.