A Case of Churg - Strauss Syndrome: Presented as Mimic of Rheumatoid Arthritis.
- Author:
Hong Gi KIM
;
Sung Hwan PARK
;
Min Ho CHOI
;
Mi Ja KANG
;
Dong Hoon KO
;
Chul Soo CHO
;
Ho Youn KIM
;
Jeana KIM
- Publication Type:Case Report
- Keywords:
Churg-Strauss syndrome;
Polyarthritis
- MeSH:
Arthritis;
Arthritis, Rheumatoid*;
Asthma;
Churg-Strauss Syndrome;
Classification;
Diagnosis;
Eosinophilia;
Female;
Granuloma;
Humans;
Middle Aged;
Prednisolone;
Rhinitis;
Sensitivity and Specificity;
Vasculitis
- From:The Journal of the Korean Rheumatism Association
1998;5(1):139-145
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Churg-Strauss syndrome(CSS) or allergic angiitis and granulomatosis is a disorder characterized by pulmonary and systemic small-vessel vasculitis, extravascular granulomas, and hypereosinophilia. It occurs in individuals with asthma and allergic rhinitis. The diagnosis of CSS is made on the basis of clinical and pathologic features. According to 1990 American College of Rheumatology(ACR) criteria for the classification of CSS, 6 criteria were developed. The presence of 4 or more of these criteria yielded a sensitivity of 85% and a specificity of 99. 7%. We describe a case of CSS in a 62-year-old female who met all of 1990 ACR criteria, but presented as like a as rheumatoid arthritis initially. Clinical symptoms, laboratory and roentgenographic findings gradually responded to high dose prednisolone treatment and resolved 3 weeks later. After discharge, she has been treated with oral prednisolone in a tapering course. Although polyarthritis with eosinophilia, vasculitis, and neuropathy are clinical manifestations of rheumatoid arthritis, those maniestations frequently occur during the vasculitic phase of the CSS. This case suggests that thorough differentiation of extra-articular manifestations of RA from clinical manifestations of CSS is considered when we meet a patient who have polyarthritis and vasculitis.
