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2014, Number 2

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Cir Cir 2014; 82 (2)

Churg-Strauss abdominal manifestation

Suárez-Moreno R, Ponce-Pérez LV, Margain-Paredes MÁ, Garza-de la Llave H, Madrazo-Navarro M, Espinosa-Álvarez A
Full text How to cite this article

Language: Spanish
References: 12
Page: 183-187
PDF size: 314.65 Kb.


Key words:

Churg Strauss syndrome, necrotizing vasculitis, intestinal vasculitis.

ABSTRACT

Background: Churg-Strauss is a rare, idiopathic, hypereosinophilic disease characterized by blood, tissue, and systemic vasculitis in patients with a history of asthma or allergic rhinitis. Gastrointestinal manifestations of Churg Strauss appear in a 31-45% of the patients according to some series of studies, abdominal pain being the most frequent symptom followed by diarrhea and bleeding.
Clinical case: Male patient with a history of asthma who presents abdominal pain apparently due to acute appendicitis. During the hospital stay the study protocol is complemented, confirmating the diagnosis of Churg Strauss syndrome with intestinal manifestations.
Conclusion: Churg Strauss syndrome is a rare vasculitis that may present with intestinal manifestations so it is important to take into consideration the differential diagnosis. There are few cases in the literature associated with this syndrome and acute abdomen, all of them on the poor prognosis of this association.


REFERENCES

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  4. Guillevin L, Lhote F, Gayraud M, Cohen P, Jarrousse B, Lortholary O, et al. Prognostic factors in polyarteritis nodosa and Churg-Strauss syndrome. A prospective study in 342 patients. Medicine (Baltimore) 1996;75:17-28.

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  6. Churg J, Strauss L. Allergic Granulomatosis, Allergic Angiitis, and Periarteritis Nodosa. Am J Pathol 1951;27:277-301.

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  8. Masi A, Hunder G, Lie J, Michel B, Calabrese L, Edwoethy S, et al. The American College of Rheumatology criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum 1990;33:1094-1100.

  9. Schoretsanitis G, Wakely D, Maddox T, Wastell C. A case of Churg-Strauss vasculitis complicated by small bowel necrosis. Postgrad Med J 1993;69:828-831.

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Cir Cir. 2014;82