acute coronary vasospasm in a patient with eosinophilic granulomatosis with polyangiitis following nsaid administration a case report eosinophilic with polyangiitis egpa formerly known as churgstrauss syndrome is a rare systemic disease characterized by a smallvessel necrotizing vasculitis cardiac manifestations are broadranging and are associated with a poor prognosis coronary vasospasm is uncommonhere we report a case of an acute coronary vasospasm in a patient with egpa after corticosteroids withdrawal and nonsteroidal antiinflammatory drug nsaid introduction this patient was initially misdiagnosed as bradykininmediated angioedema a 30yearold man presented with recurrence of abdominal pain and acute dyspnea nsaid administration for pain during a flare was followed by coronary vasospasms leading to cardiac arrest corticosteroid treatment was recently interrupted by the patientthis case reports a rare cardiac complication of egpa nsaid might contribute to coronary vasospasm by eosinophilic degranulation in egpa moreover corticosteroid compliance must be emphasized among patients who display egpa with high cardiac risk to prevent fatal issues