Abstract
Churg Strauss Sendromu (CSS); küçük çaplı damarları tutan nekrotizan bir vaskülittir. Eşlik edebilen pek çok bulgusu olmakla birlikte bu sendrom, astım, nasal polipozis, hipereozinofili gibi belirgin klinik bulgulara sahiptir. Burada bilinen astım ve nasal polipozisi olan 48 yaşında bir erkek hastanın sülük terapisine gittikten sonra ani gelişen bilinçte kötüleşme ve ayak bileğinde yine ani gelişen büllöz lezyonlar ile acil servise başvurduğu ve beraberinde mononöritis multisipleks ve başka klinik bulguların da eşlik ettiği bir CSS olgu sunumu anlatılmaktadır. CSS tanısının konulmasında klinik bulgular, laboratuar, elektromiyografi, lomber ponksiyon, radyolojik görüntüleme yöntemleri, histopatolojik inceleme ve transtorasik ekokardiyografiden yararlanıldı. Ayrıca sülük terapisinin vaskülit grubu hastalıklarda hiperozinofiliyi tetikleyip kişide ciddi komplikasyonlara yol açabileceğine dikkat çekilmek istendi.
References
- Reference1 Mandell FM, Hoffman GS: Systemic necrotizing arteritis. Dermatology in General Medicine. Ed.Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB. Fifth edition. McGraw-Hill, 1999; 2038-2039
- Reference2 Guillevin L, Cohen P, Gayraud M, Lhote F, Jarrousse B, Casassus P: Churg-Strauss syndrome. Clinical study and long term follow-up of 96 patients. Medicine (Baltimore) 1999; 78(1): 26-37
- Reference3 Sinico RA, Bottero P. Churg Strauss angiitis. Best practice research clinical rheumatology 2009; 23: 355-66.
- Reference4 Shimauchi T, Kabashima K, Tokura Y. Solar urticaria as a manifestation of Churg-Strauss syndrome. Clin Exp Dermatol 2007;32:209-10
Abstract
Churg Strauss Syndrome (CSS) is a necrotizing vasculitis affecting small vessels. Although there are many accompanying findings, this syndrome has distinctive clinical findings such as asthma, nasal polyposis, and hypereosinophilia. Here, we describe a case report of a 48-year-old male patient with known asthma and nasal polyposis, who applied to the emergency department with a sudden worsening of consciousness and bullous lesions on the ankle after undergoing leech therapy (hirudotherapy), accompanied by mononeuritis multiplex and other clinical findings. Clinical findings, laboratory, electromyography, lumbar puncture, radiological imaging methods, histopathological examination and transthoracic echocardiography were used to diagnose CSS. In addition, it was desired to draw attention to the fact that leech therapy may trigger hyperosinophilia in vasculitis group diseases and cause serious complications in the individual.
References
- Reference1 Mandell FM, Hoffman GS: Systemic necrotizing arteritis. Dermatology in General Medicine. Ed.Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB. Fifth edition. McGraw-Hill, 1999; 2038-2039
- Reference2 Guillevin L, Cohen P, Gayraud M, Lhote F, Jarrousse B, Casassus P: Churg-Strauss syndrome. Clinical study and long term follow-up of 96 patients. Medicine (Baltimore) 1999; 78(1): 26-37
- Reference3 Sinico RA, Bottero P. Churg Strauss angiitis. Best practice research clinical rheumatology 2009; 23: 355-66.
- Reference4 Shimauchi T, Kabashima K, Tokura Y. Solar urticaria as a manifestation of Churg-Strauss syndrome. Clin Exp Dermatol 2007;32:209-10
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | September 22, 2022 |
| Acceptance Date | June 24, 2022 |
| Published in Issue | Year 2022 Volume: 4 Issue: 3 |
Chief Editors
Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye
Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye
E-mail: medrecsjournal@gmail.com
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Medical Records Association (Tıbbi Kayıtlar Derneği)
Address: Düzce / Türkiye
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