Psoriasis-induced postoperative cardiac failure.

Autor: Jha PK; Department of Cardiothoracic Surgery, Wythenshawe Hospital, Manchester, United Kingdom. p1jha@aol.com, Das SR, Musleh GS, Lakshmanan S, Kingston TP, Deiraniya AK
Jazyk: angličtina
Zdroj: The Annals of thoracic surgery [Ann Thorac Surg] 2005 Apr; Vol. 79 (4), pp. 1390-1.
DOI: 10.1016/j.athoracsur.2003.06.035
Abstrakt: Erythroderma-induced cardiogenic shock is a rare but known manifestation of erythrodermic psoriasis. Erythrodermic psoriasis is an aggressive form of the disease and can be precipitated by numerous factors including stress to the body. In this article we present a case of persistent severe vasodilatation after coronary artery bypass surgery that required prolonged epinephrine administration. This was caused by a flareup of erythrodermic psoriasis that was previously only controlled by methotrexate. This drug was omitted in the perioperative phase. Vasodilatation disappeared after treatment was reinstituted.
Databáze: MEDLINE