Parsi A, Roozbeh F. A Case Report of Churg-Strauss in asthmatic patients following the discontinuation of corticosteroids and using montelukast . J Mazandaran Univ Med Sci 2011; 21 (84) :154-157
URL:
http://jmums.mazums.ac.ir/article-1-682-en.html
Abstract: (21363 Views)
Çhurg-Strauss is a disease with a prevalence of one to three cases per 100 thousand people. This disease is usually observed in the patients with a history of asthma being treated with steroids whose steroid therapy has been discontinued in the process. This patient was a 62-year-old woman with asthma who was treated for 6 months. Five days before she referred to the hospital, she developed skin involvement in her body. Drooping in the left wrist and her two ankles was evident. Ëosinophilitic vasculitis and degenerative changes along the nerve pathway were reported in the nerve biopsy. Methylprednisolone pulse therapy 1 g daily for three days followed by Ânoksan (150 mg daily) and Prednisolone (60 mg daily) tablets were administered. Lesions began to recover on the fifth day of hospitalization and after a week they completely disappeared. Ït can be concluded that in asthmatic patients who suffer from the change in clinical conditions, especially skin lesions, the Çhurg-Strauss disease should be considered as one of the differential diagnosis.