Recurrent bilateral eyelid and conjunctival granulomatosis in Churg-Strauss syndrome

Author: Nurul Faaiqah Jainuddin ¹ ; Aliff Irwan Cheong ¹ ; Chiew Seow Fan ² ; Norlina Raml ¹
Author Information

1. Department of Ophthalmology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia,
2. Department of Pathology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
Publication Type:Case Reports
From: The Medical Journal of Malaysia 2020;75(1):86-87
CountryMalaysia
Language:English
Abstract: A 47-year-old woman with poorly controlled asthma and allergic rhinitis presented with recurrent episodes of bilateral upper eyelid swelling associated with forniceal conjunctival mass for the past 10 years. Routine blood investigations showed raised IgE levels and raised eosinophil counts. The diagnosis of Churg-Strauss syndrome (CSS) was made following biopsy of the conjunctival mass. The symptoms responded well to oral steroid treatment but recurred following cessation of the therapy. The patient was co-managed with a rheumatologist and the patient currently remains stable and is on oral Methotrexate and low dose oral steroids. Ocular involvement in CSS is unusual but this unique presentation of CSS was successfully managed, and the patient remains in remission.