OSTIAL stenosis of the coronaries in young children is extremely rare. It was found only twice in a series of 14,000 consecutive autopsies performed at the Johns Hopkins Hospital (Norris1), a percentage of 0.014.
In the case to be described the histology of the lesion points to a syphilitic origin but there is no corroborating evidence provided by the history, the serological tests, or the presence of other stigmata of congenital syphilis.
REPORT OF A CASE
—The patient, a girl 9 years and 9 months old, was born of apparently healthy parents. She had a sister 7 years old. She had become listless, had shown disinclination for food, and had lost weight. She coughed occasionally. At the end of June, 1952, severe abdominal pain occurred suddenly, followed almost immediately by convulsions. The child became unconscious and a little feverish. The spinal fluid showed no abnormalities. X-ray of
GOORMAGHTIGH N, DE VOS L, BLANCQUAERT A. OSTIAL STENOSIS OF CORONARY ARTERIES IN NINE-YEAR-OLD GIRL. AMA Arch Intern Med. 1955;95(2):341-348. doi:10.1001/archinte.1955.00250080163017