title: Churg-Strauss Syndrome with pleural involvement.
abstract: A 51-year-old Japanese man with Churg-Strauss Syndrome (CSS) diagnosed by pleural biopsy is described. He was hospitalized because of high fever and bilateral knee, elbow and shoulder joint pain. Chest roentgenogram and chest computed tomography (CT) scan revealed bilateral massive pleural effusion. Pleural biopsy revealed eosinophilic infiltration and necrotizing granulomas. He was treated with oral prednisolone and his symptoms improved. This is the first report of CSS diagnosed by pleural biopsy.
authors.affiliation: Department of Internal Medicine, Kagawa Prefectural Central Hospital, Takamatsu.
authors.forename: S
authors.initials: S
authors.lastname: Hirasaki
authors.forename: T
authors.initials: T
authors.lastname: Kamei
authors.forename: Y
authors.initials: Y
authors.lastname: Iwasaki
authors.forename: H
authors.initials: H
authors.lastname: Miyatake
authors.forename: I
authors.initials: I
authors.lastname: Hiratsuka
authors.forename: A
authors.initials: A
authors.lastname: Horiike
authors.forename: Y
authors.initials: Y
authors.lastname: Ogita
authors.forename: Y
authors.initials: Y
authors.lastname: Matsuhashi
authors.forename: S
authors.initials: S
authors.lastname: Yamamoto
mesh_terms: D015267:Churg-Strauss Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology*