title: Unusual presentation of temporal bone involvement in Churg-Strauss syndrome.
abstract: OBJECTIVE
  To present a case of a 60-year-old male with a history of sudden onset sensorineural hearing loss due to Churg-Strauss syndrome.
  
  
  METHODS
  The patient had a 20-year history of asthma and recurrent right otitis media and a nasal polypectomy four years prior to presenting with ear symptoms. Ear, nose and throat involvement is common in Churg-Strauss syndrome, usually manifesting as allergic rhinitis and chronic rhinosinusitis with or without polyps.
  
  
  CONCLUSIONS
  Otolaryngologists play an important role in making an early diagnosis of this disease. To our knowledge this is the first case of Churg-Strauss syndrome primarily presenting with otological pathology: left sensorineural hearing loss and right otitis media.
authors.affiliation: Department of Otolaryngology and Skull Base Surgery, Addenbrooke's Hospital, Cambridge, UK.
authors.forename: M
authors.initials: M
authors.lastname: Martinez Del Pero
authors.forename: D
authors.initials: D
authors.lastname: Moffat
authors.forename: H
authors.initials: H
authors.lastname: Sudhoff
mesh_terms: D002908:Chronic Disease; D015267:Churg-Strauss Syndrome / Q000175:diagnosis*; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000175:diagnosis*; D013701:Temporal Bone / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed