Sidhu Bharat, Nanda Uttam, Abbas Shahab
Department of General Medicine, NHS, Birmingham, West Midlands, UK.
BMJ Case Rep. 2013 Sep 26;2013:bcr2013200600. doi: 10.1136/bcr-2013-200600.
Asthma exacerbations are a fairly common presentation to emergency departments. However, a careful history, clinical examination and interpretation of investigations may uncover a more serious pathology. We present an interesting case of a 44-year-old man with symptoms suggestive of an asthma exacerbation, who was found to have Churg-Strauss vasculitis/eosinophilic granulomatosis with polyangitis. He had clinical features of a vasculitis, ECG changes and a troponin T level of 7562 ng/L. Renal biopsy confirmed Churg-Strauss vasculitis. Cardiac involvement in Churg-Strauss Syndrome (CSS) is one of the leading causes of mortality. We describe the successful diagnosis and management of a patient with CSS.
哮喘急性加重是急诊科较为常见的病症表现。然而，通过仔细询问病史、进行临床检查以及解读各项检查结果，可能会发现更为严重的病理情况。我们呈现一例有趣的病例，一名44岁男性，有提示哮喘急性加重的症状，结果发现患有变应性肉芽肿性血管炎/嗜酸性肉芽肿性多血管炎。他具有血管炎的临床特征、心电图改变，肌钙蛋白T水平为7562 ng/L。肾活检确诊为变应性肉芽肿性血管炎。变应性肉芽肿性血管炎综合征（CSS）中的心脏受累是主要死亡原因之一。我们描述了一名CSS患者的成功诊断及治疗过程。
