Mesalamine-Induced Myocarditis and Coronary Vasculitis in a Pediatric Ulcerative Colitis Patient: A Case Report

Table 1

Correlation of symptoms progression and diagnostic data on and off Asacol.

	On Asacol; day 29	Off Asacol; day 1	Off Asacol; day 2	Off Asacol; day 3	Off Asacol; day 7
Symptoms	Chest pain	Chest pain	None	None	None
Troponin	0.157 ng/mL	0.466 ng/L	0.341 ng/mL	0.148 ng/mL	<0.010 ng/mL
	0.447 ng/mL	0.406 ng/mL
	0.67 ng/mL
EKG	Sinus Tachycardia With no ST segment Changes (Figure 1)	Normal sinus rhythm with nonspecific ST changes in inferior leads (Figure 4)	Normal sinus rhythm with nonspecific ST changes	Normal sinus rhythm with sinus arrhythmia and no ST segment Changes	Normal sinus rhythm with sinus arrhythmia and T wave inversion in lead III (Figure 5)
ECHO	Mild-moderate dilated LV	Mildly dilated LV	Mildly dilated LV	Mildly dilated LV	Normal LV
	EF at 48%	EF at 65%	EF at 59%	EF at 56%	EF at 66%
	Dilated coronary arteries; RCA 6 mm (Z≥+4); LCA 5 mm (Z=+2).	Proximal dilation of coronary arteries	Proximal dilation of coronary arteries; RCA 6.1 mm	Proximal dilation of coronary arteries RCA 4.5 mm; LCA 5 mm; LDA 3.4 mm	Proximal dilation of coronary arteries RCA 3.8 mm; LCA 4.8 mm; LDA 3.6 mm