[A case of Churg-Strauss syndrome following corticosteroid withdrawal].
A 56-year-old man with bilateral hearing impairment who had taken betamethasone combined with dexchlorpheniramine maleate for 7 years to treat chronic sinusitis developed a dry cough after discontinuing this medication and was diagnosed with asthma, and after which he sensed impaired bilateral hearing. Based on the presence of numerous eosinophilic leukocytes in otorrehea, we made a diagnosis of eosinophilic otitis media, and he was prescribed predonisolone to control the asthma, but discontinued it on his own. He then developed fever, maniphalanx stiffness, testicular pain, and facial hyperesthesia, eruptions, and the lower-limb numbness. The detection of a positive serum reaction for MPO-ANCA and evaluated of eosinophilic leukocyte levels yielded a definitive diagnosis of CSS, for which the man was treated with predonisolone and cyclophosphamide. His symptoms were relieved, even though the onset of neutropenia, necessitated the discontinuation of cyclophosphamade administration.
Sunami
Kishiko
K
Department of Otorhinolaryngology, Graduate School of Medicine, Osaka City University, Osaka.
Takayama
Masahiro
M
Okabe
Yukihiko
Y
Yamane
Hideo
H
Tochino
Yoshihiro
Y
Kodama
Toyoshiro
T
Negoro
Nobuo
N
D001249:Asthma / Q000188:drug therapy; D015267:Churg-Strauss Syndrome / Q000209:etiology*; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000008:administration & dosage*; D013375:Substance Withdrawal Syndrome
D005938:Glucocorticoids; D011239:Prednisolone