1.Atypical Onset of Eosinophilic Granulomatosis with Polyangitis in a Patient with Long-term Well-controlled Bronchial Asthma
Satoshi Akao ; Hideharu Hagiya ; Kou Hasegawa ; Takahiro Nada ; Eri Nakamura ; Kosuke Kimura ; Koichi Waseda ; Yoshihisa Hanayama ; Kentaro Deguchi ; Fumio Otsuka
General Medicine 2015;16(2):99-102
Eosinophillic glanuromatosis with polyangitis (EGPA) usually occurs in patients with a recent history (usually less than 10 years) of uncontrolled bronchial asthma. Here we describe a case of EGPA that occurred in a 68-year-old female who had well-controlled bronchial asthma for 17 years. A leukotriene receptor antagonist that had been prescribed one week before onset might have triggered the disease. Our case shows that there is a wide spectrum of clinical characteristics of EGPA, making diagnosis difficult in a primary care setting.
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