[Report of a case of allergic granulomatous vasculitis (Churg-Strauss syndrome)].
A 35 year female with a previous history of asthma came to our observation about 10 months ago. She was dyspneic, showed small nodules (2 to 5 mm) in arms, hands and legs and had radiological evidence of pulmonary granulomatosis and pleural effusion. Diagnosis was made by means of cutaneous biopsy showing a necrotic granulomatous vasculitic lesions with eosinophilic infiltration and giant cells, consistent with allergic granulomatosis of Churg-Strauss syndrome. Steroid therapy alone (prednisone 1 mg/kg/die) led to a rapid and complete clinical and humoral remission. The patient is still doing an alternate day prednisone therapy (15 mg) and is well after a 10 months follow-up.
Albert
F
F
Bertani
E
E
Carabelli
A
A
Pavia
G
G
D000328:Adult; D001249:Asthma / Q000150:complications; D015267:Churg-Strauss Syndrome / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000209:etiology; D005260:Female; D006801:Humans; D010488:Polyarteritis Nodosa / Q000175:diagnosis
Osservazioni su di un caso di vasculite granulomatosa allergica (sindrome di Churg-Strauss).