Korean Journal of Otolaryngology - Head and Neck Surgery  2014;57(12):870-873

doi:10.3342/kjorl-hns.2014.57.12.870

A Case of Churg-Strauss Syndrome Involving Nasal Cavity.

Chul Soon JANG 1 ; Dong Wook LEE ; Mi Sook CHOI ; Woo Sub SHIM

Affiliations

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Keywords

Churg-Strauss syndrome; Rhinosinusitis; Vasculitis

Country

Republic of Korea

Language

Korean

Abstract

Churg-Strauss syndrome is a rare systemic vasculitis occurring in patients with asthma and peripheral eosinophilia. Lungs, skin, and the nervous system are the most common sites of involvement, although many other organs are affected frequently. We report a case of 54-year-old male with a history of asthma and chronic rhinosinusitis who was admitted to the emergency department because of dyspnea and pleural pain. He was diagnosed with Churg-Strauss syndrome based on bronchial asthma, peripheral eosinophilia, pulmonary infiltration, chronic rhinosinusitis, and extravascular eosinophil infiltration. His symptoms were resolved dramatically after treatment with corticosteroids. Allergic rhinitis and chronic rhinosinusitis with or without polyps may be present at the early stage of Churg-Strauss syndrome. Therefore, otolaryngologists may play a pivotal role in making an early diagnosis of this disease.