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Churg Strauss Syndrome ? A Case Report

机译:楚格·史特劳斯综合症?个案报告

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A male aged 45-years presented with complaints of fever for 7days, cough, breathlessness for 4 days, tingling of hands, feet and weakness of both hands and feet for 4 days duration. He was a known asthmatic with history of recurrent sinusitis in the past. On examination he had bilateral polyphonic wheeze and evidence of distal asymmetric sensory neuropathy with motor weakness. And on investigation he had eosinophilia, pulmonary function test showed reversible airway obstruction,nerve conduction studies revealed mononeuritis multiplex, muscle biopsy suggestive of eosinophilia infiltration, nerve biopsy suggestive of vaculitis, 2DECHO showed RWMA in inter ventricular septum, Coronary angiogram showed narrowing in distal LAD territory. In view of sinusitis, asthma, eosinophilia, tissue infiltration by eosinophils we made a diagnosis of Churg Strauss syndrome.
机译:一位45岁的男性表现为发烧7天,咳嗽,呼吸困难4天,手脚发麻和手脚无力4天。他以前是一名哮喘病患者,有复发性鼻窦炎的病史。经检查,他患有双侧多发性喘息和远端不对称感觉神经病伴运动无力的证据。在调查中发现他患有嗜酸性粒细胞增多,肺功能检查显示可逆性气道阻塞,神经传导研究显示多发性单神经炎,肌肉活检提示嗜酸性粒细胞浸润,神经活检提示室间隔炎,2DECHO提示室间隔存在RWMA,冠状动脉造影显示LAD远端变窄领土。鉴于鼻窦炎,哮喘,嗜酸性粒细胞增多,嗜酸性粒细胞浸润,我们做出了Churg Strauss综合征的诊断。

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