Churg-Strauss syndrome that presented with mediastinal lymphadenopathy and calculous cholecystitis
Churg-Strauss syndrome that presented with mediastinal lymphadenopathy and calculous cholecystitis
- 주제(키워드) Churg-Strauss syndrome , Lymph nodes , Cholecystitis
- 발행기관 대한내과학회
- 발행년도 2016
- 총서유형 Journal
- UCI G704-001640.2016.31.1.010
- KCI ID ART002075065
- 본문언어 영어
초록/요약
Churg-Strauss syndrome (CSS) is a systemic disorder characterized by bronchial asthma, hypereosinophilia, and systemic vasculitis. The American College of Rheumatology (ACR) classification criteria in patients with biopsy-proven vasculitis is the most widely used today. These criteria include asthma, greater than 10% peripheral eosinophilia, mono- or polyneuropathy, migratory pulmonary infiltrates, sinus anomalies, and extravascular eosinophils in the biopsy. The presence of four of these criteria in a patient with biopsy-proven vasculitis has a sensitivity of 85% and a specificity of 99.7% for CSS [1]. Involvement of the lung, skin, gastrointestinal tract, and nervous system are common in CSS, but involvement of the mediastinal lymph node (LN) and gallbladder (GB) containing stones are less common. We, herein, report and discuss a special CSS case involving the mediastinal LN and GB containing stones, as well as lung parenchyme.
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