BACKGROUND: Coincidental occurrence of @entity1187 with symptoms associated with an @entity56 is called @entity751 ( @entity751 ). Although @entity751 has been recognized for several years and has been reported in many documents, @entity751 induced by @entity775 ( @entity775 ), to the authors' knowledge, has not been reported. CASE REPORT: The @entity1 was a 31-year-old @entity1 who suffered from chronic @entity110 for nearly 3  years. Her @entity110 became more serious 1  week before this visit and was accompanied by repeated attacks of @entity299 . Autologous serum skin test and serum anti-high affinity immunoglobulin E receptor antibody test were positive for @entity775 . Her coronary artery pathological changes were confirmed by electrocardiogram (ECG), @entity10020 ( @entity10020 ) value, and angiocardiography. The @entity1 was diagnosed with @entity751 . After being treated with @entity14746 , glucocorticoids, and @entity500 , the @entity1 did not relapse during the first year of follow-up. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: When seeing a @entity1 with intermittent exacerbations of chronic @entity110 accompanied by repeated attacks of @entity299 , emergency physicians should consider the diagnosis of @entity751 . It is important to monitor changes in the  ECG and @entity10020 value. Angiocardiography is necessary to eliminate @entity583 or @entity1459 . Second-generation antihistamines and glucocorticoids are effective in the treatment of @entity775 and also alleviate @entity3361 . Another important consideration for the emergency physician is the fact that some first-generation antihistamines have the side effect of @entity2224 , so it is better not to use these drugs to treat @entity110 if @entity751 is suspected.

Kounis Syndrome Caused by XXXX : A Case Report.

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndrome'] @entity500 :: ('MESH:D001379', 'Chemical') :: ['azathioprine'] @entity3361 :: ('MESH:D003329', 'Disease') :: ['coronary spasm'] @entity1459 :: ('MESH:D000789', 'Disease') :: ['unstable angina'] @entity10020 :: ('7139', 'Gene') :: ['cTnT', 'cardiac troponin T'] @entity56 :: ('MESH:D004342', 'Disease') :: ['allergic reaction'] @entity751 :: ('MESH:D013577', 'Disease') :: ['KS', 'Kounis syndrome'] @entity14746 :: ('MESH:D017332', 'Chemical') :: ['cetirizine'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac symptoms'] @entity2224 :: ('MESH:D014693', 'Disease') :: ['ventricular tachycardia or fibrillation'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity110 :: ('MESH:D014581', 'Disease') :: ['urticaria'] @entity775 :: ('MESH:D019693', 'Disease') :: ['chronic autoimmune urticaria', 'CAU']
@entity775 :: (MESH:D019693,Disease) :: ['Chronic Autoimmune Urticaria']
