title: Churg-Strauss syndrome from an orthopaedic perspective.
abstract: Churg-Strauss syndrome, which has been frequently described by physicians in the literature, is a small and medium-sized vessel systemic vasculitis typically associated with asthma, lung infiltrates, and hypereosinophilia. We report a case of Churg-Strauss syndrome with presenting symptoms of bilateral lower limb weakness and numbness only. The patient was admitted to an orthopaedic ward for management and a final diagnosis was reached following sural nerve biopsy. The patient's symptoms responded promptly to steroid treatment and she was able to walk with a stick 3 weeks following admission. This report emphasises the need to be aware of this syndrome when managing patients with neurological deficit in order to achieve prompt diagnosis and treatment.
authors.affiliation: Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
authors.forename: K L
authors.initials: KL
authors.lastname: Kung
authors.affiliation: Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
authors.forename: P K
authors.initials: PK
authors.lastname: Yee
mesh_terms: D000368:Aged; D001706:Biopsy; D015267:Churg-Strauss Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D035002:Lower Extremity / Q000294:innervation / Q000503:physiopathology; D051346:Mobility Limitation; D018908:Muscle Weakness / Q000209:etiology; D009985:Orthopedics; D013256:Steroids / Q000627:therapeutic use; D013497:Sural Nerve / Q000473:pathology
chemical_list: D013256:Steroids
keywords: Churg-Strauss syndrome; Orthopedic procedures; Sural nerve/pathology