Gastrointestinal presentation of Churg Strauss syndrome.
Gastrointestinal involvement is frequent in patients with Churg Strauss Syndrome: clinical symptoms (abdominal pain, diarrhea or bleeding) range from 44 to 89%, pathologic involvement of the bowel from 33 to 92%, and gastrointestinal death (bleeding or perforation), described in 8% of cases, is the fourth leading cause of death after heart, CNS and renal failure. In spite of this wide-spread digestive involvement, gastrointestinal presentation has never been described. We present a 56 year old man with Churg Strauss Syndrome, where eosinophilia, diarrhea and gastrointestinal bleeding appeared three years before asthma. This is probably the first description of gastrointestinal presentation of Churg Strauss Syndrome.
Sarcoidosis Clinic, Niguarda Hospital, Milan, Italy.
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P
Fraioli
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M
Barberis
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G
Rizzato
D015746:Abdominal Pain / Q000209:etiology; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001249:Asthma / Q000150:complications; D015267:Churg-Strauss Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003967:Diarrhea / Q000209:etiology; D004802:Eosinophilia / Q000209:etiology; D005767:Gastrointestinal Diseases / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011282:Pregnenediones / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D011282:Pregnenediones; C021988:deflazacort