Churg-Strauss syndrome presenting as acute acalculous cholecystitis.
10.4168/aard.2013.1.4.388
- Author:
Woo Joo LEE
1
;
Ji Won HWANG
;
Eun KIM
;
Sehyo YUNE
;
Jung Min HA
;
Nara YOON
;
Byung Jae LEE
;
Dong Chull CHOI
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Seoul, Korea. dcchoi@skku.edu
- Publication Type:Case Report
- Keywords:
Churg-Strauss syndrome;
Acalculous cholecystitis;
Vasculitis
- MeSH:
Abdominal Pain;
Acalculous Cholecystitis*;
Aged;
Asthma;
Cholecystectomy, Laparoscopic;
Cholecystitis;
Churg-Strauss Syndrome*;
Emergencies;
Eosinophilia;
Eosinophils;
Female;
Gallbladder;
Gastrointestinal Tract;
Granuloma;
Humans;
Korea;
Lung;
Pathology;
Sinusitis;
Skin Manifestations;
Systemic Vasculitis;
Vasculitis
- From:Allergy, Asthma & Respiratory Disease
2013;1(4):388-390
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Churg-Strauss syndrome (CSS) is a rare systemic vasculitis. It is characterized by peripheral eosinophilia, asthma, neuropathy, skin manifestation, and less frequently gastrointestinal tract symptoms. Here we report a case of CSS which is initially manifested as acute acalculous cholecystitis. A 67-year-old asthmatic woman visited Emergency Room because of acute abdominal pain. Computed tomography showed acalculous cholecystitis and laparoscopic cholecystectomy was done. Pathology of gallbladder showed marked eosinophilic infiltration with necrotizing vasculitis and granuloma. On the basis of asthma, sinusitis, lung infiltration, combined peripheral eosinophilia and neuropathy, the patient was diagnosed as CSS. To our knowledge, this is the first case of pathologically proven eosinophilic cholecystitis in Korea.
