Korean J Otorhinolaryngol-Head Neck Surg.  2014 Dec;57(12):870-873. 10.3342/kjorl-hns.2014.57.12.870.

A Case of Churg-Strauss Syndrome Involving Nasal Cavity

• Jang CS
• Lee DW
• Choi MS
• Shim WS

• KMID: 1802435
• DOI: http://doi.org/10.3342/kjorl-hns.2014.57.12.870

Abstract

Churg-Strauss syndrome is a rare systemic vasculitis occurring in patients with asthma and peripheral eosinophilia. Lungs, skin, and the nervous system are the most common sites of involvement, although many other organs are affected frequently. We report a case of 54-year-old male with a history of asthma and chronic rhinosinusitis who was admitted to the emergency department because of dyspnea and pleural pain. He was diagnosed with Churg-Strauss syndrome based on bronchial asthma, peripheral eosinophilia, pulmonary infiltration, chronic rhinosinusitis, and extravascular eosinophil infiltration. His symptoms were resolved dramatically after treatment with corticosteroids. Allergic rhinitis and chronic rhinosinusitis with or without polyps may be present at the early stage of Churg-Strauss syndrome. Therefore, otolaryngologists may play a pivotal role in making an early diagnosis of this disease.

Keyword

Churg-Strauss syndrome; Rhinosinusitis; Vasculitis

MeSH Terms

Adrenal Cortex Hormones
Asthma
Churg-Strauss Syndrome*
Dyspnea
Early Diagnosis
Emergency Service, Hospital
Eosinophilia
Eosinophils
Humans
Lung
Male
Middle Aged
Nasal Cavity*
Nervous System
Polyps
Pulmonary Eosinophilia
Rhinitis
Skin
Systemic Vasculitis
Vasculitis
Adrenal Cortex Hormones