Paroxysmal toothache after drinking: alcohol-induced vasospastic angina
A 68-year-old Japanese man presented with recurrent paroxysmal toothache exclusively after alcohol consumption. The episodes occurred 2–3 hours after drinking, lasted 10-15 minutes, and were unrelated to exertion or eating, chewing, or brushing the teeth. Physical examination and laboratory tests we...
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2025-02-01
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| Series: | European Journal of Case Reports in Internal Medicine |
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| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5170 |
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| author | Kosuke Ishizuka Yoshiyuki Ohira Mitsuyasu Ohta |
| author_facet | Kosuke Ishizuka Yoshiyuki Ohira Mitsuyasu Ohta |
| author_sort | Kosuke Ishizuka |
| collection | DOAJ |
| description | A 68-year-old Japanese man presented with recurrent paroxysmal toothache exclusively after alcohol consumption. The episodes occurred 2–3 hours after drinking, lasted 10-15 minutes, and were unrelated to exertion or eating, chewing, or brushing the teeth. Physical examination and laboratory tests were unremarkable. Vasospastic angina was suspected based on the episodic nature and association with alcohol. Symptoms resolved within 1-2 minutes of nitroglycerin administration, confirming the diagnosis of alcohol-induced vasospastic angina. This case highlights the importance of considering cardiac causes, including vasospastic angina, in patients with unexplained paroxysmal symptoms such as toothache, especially when triggered by alcohol consumption. |
| format | Article |
| id | doaj-art-e3b9f3e7b41c47ddac0bd8834a586ca1 |
| institution | OA Journals |
| issn | 2284-2594 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj-art-e3b9f3e7b41c47ddac0bd8834a586ca12025-08-20T02:01:50ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-02-0110.12890/2025_0051704705Paroxysmal toothache after drinking: alcohol-induced vasospastic anginaKosuke Ishizuka0Yoshiyuki Ohira1Mitsuyasu Ohta2Department of General Medicine, Yokohama City University School of Medicine, Yokohama, JapanDepartment of General Internal Medicine, St. Marianna University School of Medicine, Kawasaki, JapanDepartment of General Medicine, Yokohama City University School of Medicine, Yokohama, JapanA 68-year-old Japanese man presented with recurrent paroxysmal toothache exclusively after alcohol consumption. The episodes occurred 2–3 hours after drinking, lasted 10-15 minutes, and were unrelated to exertion or eating, chewing, or brushing the teeth. Physical examination and laboratory tests were unremarkable. Vasospastic angina was suspected based on the episodic nature and association with alcohol. Symptoms resolved within 1-2 minutes of nitroglycerin administration, confirming the diagnosis of alcohol-induced vasospastic angina. This case highlights the importance of considering cardiac causes, including vasospastic angina, in patients with unexplained paroxysmal symptoms such as toothache, especially when triggered by alcohol consumption.https://www.ejcrim.com/index.php/EJCRIM/article/view/5170drinkingtoothachevasospastic angina |
| spellingShingle | Kosuke Ishizuka Yoshiyuki Ohira Mitsuyasu Ohta Paroxysmal toothache after drinking: alcohol-induced vasospastic angina European Journal of Case Reports in Internal Medicine drinking toothache vasospastic angina |
| title | Paroxysmal toothache after drinking: alcohol-induced vasospastic angina |
| title_full | Paroxysmal toothache after drinking: alcohol-induced vasospastic angina |
| title_fullStr | Paroxysmal toothache after drinking: alcohol-induced vasospastic angina |
| title_full_unstemmed | Paroxysmal toothache after drinking: alcohol-induced vasospastic angina |
| title_short | Paroxysmal toothache after drinking: alcohol-induced vasospastic angina |
| title_sort | paroxysmal toothache after drinking alcohol induced vasospastic angina |
| topic | drinking toothache vasospastic angina |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/5170 |
| work_keys_str_mv | AT kosukeishizuka paroxysmaltoothacheafterdrinkingalcoholinducedvasospasticangina AT yoshiyukiohira paroxysmaltoothacheafterdrinkingalcoholinducedvasospasticangina AT mitsuyasuohta paroxysmaltoothacheafterdrinkingalcoholinducedvasospasticangina |