@article{101744,
  keywords = {coronary angiography, leprosy, minoca, Hypertension, Corticosteroids},
  author = {Rathod N and Toshniwal SS and Chavhan R and Acharya S and Chiwhane A},
  title = {Hypertensive Crisis and Myocardial Infarction With Non-obstructive Coronary Arteries in a Leprosy Patient With Erythema Nodosum Leprosum: The Role of Corticosteroids},
  abstract = {<p>A hypertensive crisis is a severe condition characterized by a sudden, critical rise in blood pressure, which can lead to organ damage. Myocardial infarction occurring in the absence of significant coronary artery stenosis is referred to as myocardial infarction with non-obstructive coronary arteries (MINOCA). Patients with leprosy may develop erythema nodosum leprosum (ENL), a serious inflammatory condition that can impair cardiovascular health and is frequently treated with corticosteroids. In this case, we describe a 52- year-old male patient, known to have hypertension, who complained of breathlessness, facial edema, and chest pain. Additional testing indicated hypertension, elevated cardiac biomarkers, and an ECG that showed characteristics of a non-ST segment elevation myocardial infarction (NSTEMI). When coronary angiography was performed, non-obstructive epicardial coronary arteries were discovered.</p>
},
  year = {2025},
  journal = {Cureus},
  pages = {1-10},
  publisher = {Springer Science and Business Media LLC},
  issn = {2168-8184},
  url = {https://assets.cureus.com/uploads/case_report/pdf/302482/20250107-627151-bcvzs5.pdf},
  doi = {10.7759/cureus.77041},
  language = {ENG},
}