Clinical features and prognostic factors of Churg-Strauss syndrome.
10.3904/kjim.2014.29.1.85
- Author:
Mi Yeong KIM
1
;
Kyoung Hee SOHN
;
Woo Jung SONG
;
Heung Woo PARK
;
Sang Heon CHO
;
Kyung Up MIN
;
Hye Ryun KANG
Author Information
1. Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Churg-Strauss syndrome;
Antibodies, antineutrophil cytoplasmic;
Prognosis
- MeSH:
Adolescent;
Adult;
Aged;
Antibodies, Antineutrophil Cytoplasmic/blood;
Churg-Strauss Syndrome/drug therapy/*epidemiology/immunology;
Female;
Glucocorticoids/therapeutic use;
Humans;
Immunosuppressive Agents/therapeutic use;
Male;
Middle Aged;
Prednisolone/therapeutic use;
Republic of Korea/epidemiology;
Retrospective Studies;
Young Adult
- From:The Korean Journal of Internal Medicine
2014;29(1):85-95
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Churg-Strauss syndrome (CSS) is a rare systemic necrotizing small-vessel vasculitis, with accompanying bronchial asthma, eosinophilia, and eosinophilic infiltration of various tissues. The purposes of our study were to characterize the clinical features of CSS and to identify factors associated with CSS prognosis in Koreans. METHODS: Medical records were reviewed retrospectively for all physician-diagnosed CSS patients in the Seoul National University Hospital between January 1990 and March 2011. RESULTS: Data from 52 CSS patients were analyzed. The respiratory tract was the most commonly involved organ (90.4%). Renal involvement was less frequent in antineutrophilic cytoplasmic antibody (ANCA)(-) patients than in ANCA(+) patients (p = 0.048). Clinical remission occurred in 95.3% of patients, but 16.3% of them relapsed. Patients who maintained remission for more than 6 months were relatively older (median, 51 years) at diagnosis (p = 0.004), had been diagnosed in earlier stages (p = 0.027), showed more frequent respiratory involvement (p = 0.024) and generalized symptoms (p = 0.039), and showed less frequent cutaneous involvement (p = 0.030) than those who did not achieve persistent (> 6 months) remission. Patients who achieved persistent remission also showed higher C-reactive protein (CRP) levels (p = 0.031) than those who did not. CONCLUSIONS: ANCA(-) CSS patients showed less frequent renal involvement. Characteristics of good responders were older age, diagnosis at earlier stages, less cutaneous involvement, more respiratory involvement, high CRP values, and more generalized symptoms.
