Kimura T, Nakaoka Y, Yoshida K, Sunami T, Murahashi Y, Hisatsune H, Kuriyama N, Sekikawa S, Kurihara N
Department of Respiratory Diseases, Osaka Railway Hospital.
Intern Med. 1998 Jul;37(7):646-50. doi: 10.2169/internalmedicine.37.646.
Churg-Strauss syndrome (CSS) is a disorder characterized by hypereosinophilia and systematic vasculitis occurring in individuals with bronchial asthma. We present a case of 24-year-old woman with CSS diagnosed by and followed with gastrointestinal fiberscopic examination and electroneuromyography. The duodenal biopsy showed granulomatous angiitis with eosinophilic infiltration, and the electroneuromyography showed peripheral nerve dysfunction. After steroid treatment, the duodenal erosion and ulcer were almost completely resolved. There was no improvement in electroneuromyography, but the patient was able to walk independently after intensive rehabilitative training.
变应性肉芽肿性血管炎(CSS)是一种以嗜酸性粒细胞增多和系统性血管炎为特征的疾病,发生于患有支气管哮喘的个体。我们报告一例24岁患有CSS的女性病例,该病例通过胃肠纤维镜检查和神经肌电图进行诊断及随访。十二指肠活检显示肉芽肿性血管炎伴嗜酸性粒细胞浸润,神经肌电图显示周围神经功能障碍。类固醇治疗后,十二指肠糜烂和溃疡几乎完全消退。神经肌电图没有改善,但经过强化康复训练后患者能够独立行走。