Peripheral nerve
impairment as a clinical manifestation of Churg-Strauss syndrome
Traubnerová, R.,1 Žigrai, M.,1 Sýkora, M.,1 Porubský, J.,2 Vyskočil, M.,3 Traubner, P.1
1I. neurologická klinika FN a LF UK, Bratislava, 2Ústav patologickej anatómie FN a LF UK, Bratislava, 3I. interná klinika FN a LF UK, Bratislava |
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Summary:
Churg-Strauss syndrome (ChSS) is a rarely occurring primary systemic vasculitis. From a pathologicalanatomical
viewpoint, the disease develops in three stages: pre-vasculitic, vasculitic and post-vasculitic. The
clinical presentation includes in early stages of the disease bronchial asthma. Often this is a more severe,
corticoid-dependent bronchial asthma. In later stages of the disease, other organs suffer damage, especially
the heart, gastrointestinal system, skin and nervous system. The nervous system lesions are predominantly
peripheral, most often in the form of mononeuritis multiplex or polyneuropathy, or the disease manifests
with cranial nerve neuropathy. The laboratory findings include eosinophilia (more than 10%), increased
values of inflammatory markers, anemia, increased IgE values, positive antinuclear antibodies and rheumatoid
factor. We present 2 case reports of patients in whom Churg-Strauss syndrome was uncovered as
the cause of peripheral nervous system lesion.
Key words:
Churg-Strauss syndrome, vasculitis, polyneuropathy, mononeuritis multiplex, eosinophilia
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