title: [Anesthetic management of a patient with the allergic granulomatous angitis (Churg-Strauss syndrome)].
abstract: We gave anesthesia 4 times to a patient (19-year-old female) with allergic granulomatous angitis (AGA). She had asthma, myopathy and detrimental side effect in her eyes of steroid therapy for AGA. Two of the 4 operations were emergency laparotomy for peritonitis due to colon perforation, and the other 2 operations were elective eye surgeries. General anesthesia was induced with thiamylal (1st operation) or midazolam (2nd-4th operation). Intraoperative anesthesia was maintained with N2O-O2-isoflurane combined with thoracic epidural anesthesia (1st operation) or N2O-O2-sevoflurane (2nd-4th operation). Asthmatic attack, which AGA accompanies frequently, did not occur during these anesthetic managements. The steroid therapy, which is a fundamental means to control the allergic syndrome, might suppress asthma. However, asthmatic attack and systemic vasculitis should be kept in mind in anesthetic management of AGA.
authors.affiliation: Department of Anesthesia, Izumi City Hospital.
authors.forename: H
authors.initials: H
authors.lastname: Sato
authors.forename: O
authors.initials: O
authors.lastname: Shimoda
authors.forename: H
authors.initials: H
authors.lastname: Terasaki
mesh_terms: D000293:Adolescent; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D015267:Churg-Strauss Syndrome / Q000150:complications / Q000188:drug therapy; D017558:Elective Surgical Procedures; D005260:Female; D005901:Glaucoma / Q000139:chemically induced / Q000601:surgery; D006801:Humans; D007530:Isoflurane; D008738:Methyl Ethers; D008874:Midazolam; D009609:Nitrous Oxide; D019990:Perioperative Care; D000077149:Sevoflurane; D013840:Thiamylal
chemical_list: D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D013840:Thiamylal; D000077149:Sevoflurane; D007530:Isoflurane; D009609:Nitrous Oxide; D008874:Midazolam