2014, Number 2
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Cir Cir 2014; 82 (2)
Churg-Strauss abdominal manifestation
Suárez-Moreno R, Ponce-Pérez LV, Margain-Paredes MÁ, Garza-de la Llave H, Madrazo-Navarro M, Espinosa-Álvarez A
Language: Spanish
References: 12
Page: 183-187
PDF size: 314.65 Kb.
ABSTRACT
Background: Churg-Strauss is a rare, idiopathic, hypereosinophilic
disease characterized by blood, tissue, and systemic vasculitis in patients
with a history of asthma or allergic rhinitis. Gastrointestinal manifestations
of Churg Strauss appear in a 31-45% of the patients according to some
series of studies, abdominal pain being the most frequent symptom
followed by diarrhea and bleeding.
Clinical case: Male patient with a history of asthma who presents
abdominal pain apparently due to acute appendicitis. During the hospital
stay the study protocol is complemented, confirmating the diagnosis of
Churg Strauss syndrome with intestinal manifestations.
Conclusion: Churg Strauss syndrome is a rare vasculitis that may present
with intestinal manifestations so it is important to take into consideration
the differential diagnosis. There are few cases in the literature associated
with this syndrome and acute abdomen, all of them on the poor prognosis
of this association.
REFERENCES
Pagnoux C, Guillevin L. Churg-Strauss syndrome: evidence for disease subtypes? Curr Opin Rheumatol 2010;22:21-28.
Churg J, Strauss L. Allergic Granulomatosis, Allergic Angiitis, and Periarteritis Nodosa, Am J Pathol 1951;27:277-301.
Rees J, Burgess P. An Abdominal Presentation of Churg- Strauss Syndrome. Case Reports in Medicine 2010;1-4.
Guillevin L, Lhote F, Gayraud M, Cohen P, Jarrousse B, Lortholary O, et al. Prognostic factors in polyarteritis nodosa and Churg-Strauss syndrome. A prospective study in 342 patients. Medicine (Baltimore) 1996;75:17-28.
Singh R, Singh D, Abdou N. Churg-Strauss syndrome presenting as acute abdomen: are gastrointestinal manifestations an indicator of poor prognosis? Int J Rheumat Diseases 2009;12:161-165.
Churg J, Strauss L. Allergic Granulomatosis, Allergic Angiitis, and Periarteritis Nodosa. Am J Pathol 1951;27:277-301.
Berlioz M, Triolo V, Sirvent N, Albertini M. Churg-Strauss syndrome revealed by acute abdominal pain. Pediatric Pulmonology 2001;32:92-94.
Masi A, Hunder G, Lie J, Michel B, Calabrese L, Edwoethy S, et al. The American College of Rheumatology criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum 1990;33:1094-1100.
Schoretsanitis G, Wakely D, Maddox T, Wastell C. A case of Churg-Strauss vasculitis complicated by small bowel necrosis. Postgrad Med J 1993;69:828-831.
Cojocaru M, Cojocaru IM, Silosi I, Vrabie CD. Gastrointestinal Manifestations in Systemic Autoimmune Diseases. J Clinical Med 2011;6:45-51.
Reetu S, Dushyant S, Nabih A. Churg-Strauss syndrome presenting as acute abdomen: are gastrointestinal manifestations an indicator of poor prognosis? Int J Rheumat Diseases 2009;12:161-165.
Mosley J, Marston A, Buckley G, Fiddian-Green R, Hagland U. Splachnic Ischaemia and Múltiple Organ Failure. Edward Arnold, London, 1989;282.