Churg-Strauss syndrome: a disabling disease.

Authors

  • M C André Clínica Universitária de Dermatologia, Hospital de Santa Maria, Lisboa, Portugal.
  • A Fraga
  • M Duarte Reis
  • P Filipe
  • L M Soares de Almeida
  • M A Marques Gomes

DOI:

https://doi.org/10.20344/amp.497

Abstract

Churg-Strauss syndrome (CSS) is an infrequent vasculitis that affects small to medium-sized vessels. We describe a 51 year-old-female admitted to our inpatient unit with bullae on her right foot and forearm with pain, paresthesias and impotence of the foot. There was rapid clinical deterioration with lost of gait and peripheral eosinophilia. Histopathology showed many extravascular eosinophils. Bone marrow had an increased number of eosinophils and their precursors with no neoplastic cells infiltration. Electromyogram revealed mononeuritis multiplex with bilateral sciatic and right femoral nerve involvement. She fulfilled the eligibility criteria of American College of Rheumatology (ACR) and Chapell Hill Conference Consensus (CHCC) of CSS so corticosteroids and cyclophosphamide and rehabilitation program were begun with good clinical and laboratorial response. This report illustrates the importance of identifying atypical cutaneous features of CSS for the early diagnosis of this rare condition and the role of a multidisciplinary team in this multissystemic disease.

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How to Cite

1.
André MC, Fraga A, Reis MD, Filipe P, Soares de Almeida LM, Marques Gomes MA. Churg-Strauss syndrome: a disabling disease. Acta Med Port [Internet]. 2011 Dec. 29 [cited 2024 Apr. 24];24(5):853-6. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/497

Issue

Section

Arquivo Histórico