title: Ascites as the presenting symptom in a patient with Churg-Strauss syndrome.
abstract: A 67-year-old male presented with ascites, dyspnoea, peripheral edema and purpura. The history revealed asthma and nasal polyps. The laboratory tests showed an increased peripheral blood eosinophilic cell count. The ascitic fluid analysis showed features consistent with an eosinophilic peritonitis. A skin biopsy revealed eosinophilic vasculitis. Our patient was diagnosed with Churg-Strauss syndrome based on the medical history, laboratory and histology. This case describes ascites as the presenting symptom of Churg-Strauss syndrome.
authors.affiliation: Department of Gastroenterology and Hepatology, VU University Medical Centre, De Boelelaan 1117, Amsterdam, The Netherlands. a.y.adema@hotmail.com
authors.forename: Aaltje Y
authors.initials: AY
authors.lastname: Adema
authors.forename: Annemarie M
authors.initials: AM
authors.lastname: Schilder
authors.forename: Tim C M A
authors.initials: TC
authors.lastname: Schreuder
authors.forename: Karin
authors.initials: K
authors.lastname: Grünberg
authors.forename: Irine E M
authors.initials: IE
authors.lastname: Bultink
authors.forename: Chris J J
authors.initials: CJ
authors.lastname: Mulder
mesh_terms: D000368:Aged; D001201:Ascites / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D001249:Asthma / Q000150:complications; D001379:Azathioprine / Q000008:administration & dosage; D001706:Biopsy; D015267:Churg-Strauss Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D004359:Drug Therapy, Combination; D004417:Dyspnea / Q000209:etiology; D004487:Edema / Q000209:etiology; D004802:Eosinophilia / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008297:Male; D009298:Nasal Polyps / Q000150:complications / Q000601:surgery; D011239:Prednisolone / Q000008:administration & dosage; D011693:Purpura / Q000209:etiology; D012867:Skin / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents; D011239:Prednisolone; D001379:Azathioprine