�NTERAKT�F OLGU SUNUMU:  Churg-Strauss Sendromu

Sar�o�lu, Nurhan; Demirpolat, G�len; Erel, Fuat; K�se, Mehmet; Yan�k, Bahar

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�NTERAKT�F OLGU SUNUMU: Churg-Strauss Sendromu [Respir Case Rep]

Respir Case Rep. 2015; 4(3): 175-179 | DOI: 10.5505/respircase.2015.84856

�NTERAKT�F OLGU SUNUMU: Churg-Strauss Sendromu

Nurhan Sar�o�lu¹, G�len Demirpolat², Fuat Erel¹, Mehmet K�se¹, Bahar Yan�k²
¹Bal�kesir �niversitesi T�p Fak�ltesi, G��s Hastal�klar� Anabilim Dal�, Bal�kesir
²Bal�kesir �niversitesi T�p Fak�ltesi, Radyoloji Anabilim Dal�, Bal�kesir

Churg-Straus sendromu (CSS); ast�m, eozinofili ve ekstravask�ler eozinofilik gran�lomlar ile seyreden, nadir bir sistemik vask�littir. Her ya�ta g�r�lebilmekle birlikte en s�k 38-50 ya� aral��nda g�r�l�r. Bu yaz�da ileri ya�ta g�r�len bir CSS olgusu sunulmu�tur. Yetmi� yedi ya��nda erkek hasta, pn�moni tan�s�yla ba�ka bir merkezde �� haftal�k nonspesifik antibiyoterapiye yan�t al�namamas� �zerine hastanemize g�nderilmi�ti. D�rt y�ld�r ast�m tan�s�yla izlenmekte, �� ayd�r nefes darl��nda art��, iki kez ast�m ve pn�moni tan�s�yla hastanede yat�� mevcuttu. PA Akci�er grafisinde d�rt ay �nceki grafilerle kar��la�t�r�ld��nda yer de�i�tiren konsolidasyon alanlar� izlendi. Toraks bilgisayarl� tomografide (BT) her iki akci�erde yamal� infiltrasyon alanlar� g�r�ld�. Bronkoalveoler lavajda eozinofili saptand�. Elektromiyografide monon�ritis multipleks, paranazal sin�s BT de kronik sin�zit bulgular� izlendi. Amerikan Romatoloji Derne�i �l��tleri ile CSS tan�s� konuldu. Steroid tedavi ile klinik, radyoloji ve laboratuvar bulgular�nda iyile�me g�zlendi.

Anahtar Kelimeler: Churg-Strauss sendromu, eozinofili, monon�ritis multipleks.

INTERACTIVE CASE REPORT: Churg-Strauss Syndrome

Nurhan Sar�o�lu¹, G�len Demirpolat², Fuat Erel¹, Mehmet K�se¹, Bahar Yan�k²
¹Department of Pulmonology, Bal�kesir University Faculty of Medicine, Bal�kesir, Turkey
²Department of Radiology, Bal�kesir University Faculty of Medicine, Bal�kesir, Turkey

Churg-Strauss syndrome (CSS) is a rare systemic vasculitis, characterized by asthma, eosinophilia and extravascular granulomas. It can affect anyone at any age; however, it is most commonly seen in patients aged between 38 and 50. In this paper, we report a case of CSS presenting in advanced age. A 77-year-old male patient was referred our hospital because his pneumonia had not responded to treatment for three weeks. He had history of asthma for four years and his breathlessness was aggravated in the previous three months. He was twice hospitalized with asthma and pneumonia. Migratory consolidations were seen on the chest x-ray when compared with the previous four months graphics. Patchy consolidation areas were seen on the thorax-computed tomography (CT). Eosinophilia was detected in bronchoalveolar lavage. Chronic sinusitis was seen on a paranasal CT and mononeuritis multiplex was detected using electromyography. The patient was diagnosed as CSS according to the criteria of the American Rheumatology Committee. Clinical, radiological and laboratory findings were significantly recovered with corticosteroid treatment.

Keywords: Churg-Strauss syndrome, eosinophilia, mononeuritis multiplex.

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Nurhan Sar�o�lu, T�rkiye
Makale Dili: T�rk�e

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