title: Psychiatric symptoms in a patient with Churg-Strauss syndrome.
abstract: We report a case of Churg-Strauss syndrome (CSS) in a patient with multiple cerebral infarctions and psychotic symptoms. A 67-year-old man presented a high-grade fever and delirium. He was clinically diagnosed with Churg-Strauss syndrome on the basis of the presence of asthma, neuropathy, blood eosinophilia, and increased myeloperoxidase-specific anti-neutrophil cytoplasmic antibody (MPO-ANCA) activities. Though multiple cerebral infarctions are irreversible, this patient's psychiatric symptoms improved with steroid treatment. Psychiatric symptoms associated with CSS are very rare.
authors.affiliation: Department of Respiratory Medicine and Rheumatology, Institute of Health Biosciences, The University of Tokushima Graduate School, Japan. tezuka@clin.med.tokushima-u.ac.jp
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Tezuka
authors.forename: Masahiko
authors.initials: M
authors.lastname: Azuma
authors.forename: Hisatugu
authors.initials: H
authors.lastname: Goto
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Nishioka
authors.forename: Saburo
authors.initials: S
authors.lastname: Sone
mesh_terms: D000368:Aged; D002544:Cerebral Infarction / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D015267:Churg-Strauss Syndrome / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis* / Q000523:psychology