Churg-Strauss syndrome: Difference between revisions

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==Background==
#REDIRECT[[Eosinophilic granulomatosis with polyangiitis]]
*Eosinophilic granulomatosis with polyangiitis (EGPA)
*Chronic sinusitis, asthma, and peripheral eosinophilia
*Vasculitis of small and medium sized vessels
*Lung and skin are most commonly involved
 
==Clinical Features==
Classically develops in three sequential phases:
#Prodrome
#*Atopic diseases, allergic rhinitis, and asthma
#Eosinophilic phase
#*Multiorgan involvement, particularly lung and GI tract
#*Caused by eosinophilic infiltration into these organs
#Vasculitic phase
#*Life threatening vasculitis associated with vascular and extravascular granulomatosis
#*May present with nonspecific signs such as fever, weight loss, malaise
 
==Differential Diagnosis==
*Aspirin-exacerbated respiratory disease
*Chronic eosinophilic pneumonia
*Allergic bronchopulmonary aspergillosis
*Hypereosinophilic syndrome
*Other vasculitides
 
==Diagnosis==
*Typically a clinical diagnosis
*Labs with elevated eosinophils, ESR, CRP, ANCA
*CXR with transient, patchy opacities
 
==Management==
===Initiation Therapy===
*[[Prednisone]] 0.5-1.5 mg/kg/day
*Cyclophosphamide
 
===Maintenance Therapy===
*Azathioprine
*Methotrexate
*Leflunomide
*Inhaled glucocorticoids
 
==Disposition==
*Refer to rheumatology
 
==See Also==
 
==External Links==
 
==References==
 
[[Category:Rheumatology]]

Latest revision as of 03:37, 13 November 2016