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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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SMC MEDIA SRL
2025-02-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5170 |
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| Summary: | 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. |
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| ISSN: | 2284-2594 |