Waseem Muhammad, Laureta Emma
Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA.
Pediatr Emerg Care. 2007 Oct;23(10):727-30. doi: 10.1097/PEC.0b013e3181568016.
Children frequently visit emergency departments with asthma exacerbations. Many of these asthmatic children may have fever and/or pneumonia, but when associated with eosinophilia or evidence of vasculitis, other diagnoses should be considered. Churg-Strauss syndrome is a rare form of systemic vasculitis, which usually occurs in patients with asthma in association with eosinophilia. The diagnosis of Churg-Strauss syndrome can be difficult because this syndrome may arise at first as a common association between asthma and allergic rhinitis. A delay in diagnosis and treatment may increase the morbidity from the complications of vasculitis. We report a young asthmatic adolescent who presented with vasculitis, eosinophilia, and peripheral neuropathy.
儿童经常因哮喘急性发作而前往急诊科就诊。许多这类哮喘儿童可能伴有发热和/或肺炎，但当伴有嗜酸性粒细胞增多或血管炎证据时，应考虑其他诊断。变应性肉芽肿性血管炎是一种罕见的系统性血管炎形式，通常发生于伴有嗜酸性粒细胞增多的哮喘患者。变应性肉芽肿性血管炎的诊断可能较为困难，因为该综合征最初可能表现为哮喘与变应性鼻炎的常见关联。诊断和治疗的延迟可能会增加血管炎并发症导致的发病率。我们报告了一名患有血管炎、嗜酸性粒细胞增多和周围神经病变的年轻哮喘青少年。
