TY - BOOK AU - Hashim, Hayder TI - Durable Polymer Drug Eluting Stent-Induced Kounis Syndrome and Eosinophilia Requiring Long-term Immunosuppression SN - 0828-282X PY - 2022/// KW - *Drug-Eluting Stents/ae [Adverse Effects] KW - *Eosinophilia KW - *Kounis Syndrome KW - *Nickel KW - *Percutaneous Coronary Intervention KW - *Prednisone/ad [Administration & Dosage] KW - Aged, 80 and over KW - Diagnosis, Differential KW - Eosinophilia/di [Diagnosis] KW - Eosinophilia/et [Etiology] KW - Humans KW - Immunosuppressive Agents/ad [Administration & Dosage] KW - Kounis Syndrome/di [Diagnosis] KW - Kounis Syndrome/dt [Drug Therapy] KW - Kounis Syndrome/et [Etiology] KW - Kounis Syndrome/pp [Physiopathology] KW - Male KW - Metals, Heavy/ae [Adverse Effects] KW - Metals, Heavy/an [Analysis] KW - Nickel/ae [Adverse Effects] KW - Nickel/an [Analysis] KW - Non-ST Elevated Myocardial Infarction/su [Surgery] KW - Percutaneous Coronary Intervention/ae [Adverse Effects] KW - Percutaneous Coronary Intervention/is [Instrumentation] KW - Percutaneous Coronary Intervention/mt [Methods] KW - Skin Tests/mt [Methods] KW - MedStar Heart & Vascular Institute KW - Case Reports N2 - There are no reports of systemic eosinophilic reactions to durable polymer coated drug eluting stents (DP-DES) and a consensus statement indicates that these devices should be considered in nickel allergy. We present a case of in-stent thrombosis, eosinophilia, and rash consistent with allergic myocardial infarction, a presentation of Kounis syndrome, in the context of metal allergy to DP-DES requiring long-term immunosuppression. Copyright (c) 2021. Published by Elsevier Inc UR - https://dx.doi.org/10.1016/j.cjca.2021.12.001 ER -