01701nas a2200241   4500000000100000008004100001260004400042653002500086653001200111653001100123653001700134653002000151100001300171700001700184700001400201700001400215700001500229245017000244856008800414300000900502520093400511022001401445       2025                            d  bSpringer Science and Business Media LLC10acoronary angiography10aleprosy10aminoca10aHypertension10aCorticosteroids1 aRathod N1 aToshniwal SS1 aChavhan R1 aAcharya S1 aChiwhane A00aHypertensive Crisis and Myocardial Infarction With Non-obstructive Coronary Arteries in a Leprosy Patient With Erythema Nodosum Leprosum: The Role of Corticosteroids  uhttps://assets.cureus.com/uploads/case_report/pdf/302482/20250107-627151-bcvzs5.pdf  a1-103 a<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>
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