A case of type Ⅰ variant Kounis syndrome with Samter-Beer triad

Kounis syndrome is defined as the coexistence of acute coronary syndromes with situations associated with allergy or hypersensitivity,as well as anaphylactic or anaphylactoid reactions,to a variety of medical conditions,environmental and medication exposures.We report a case of Kounis-Zavras syndrome type Ⅰ variant in the setting of aspirin-induced asthma,or the Samter-Beer triad of asthma,nasal polyps and aspirin allergy.When there is a young individual with no predisposing factors of atherosclerosis and apparent coronary lesion,with or without electrocardiography and biochemical markers of infarction,the possibility of Kounis syndrome should be kept in mind.