Small vessel vasculitides - CHURG STRAUSS SYNDROME (Eosinophilic granulomatosis with polyangitis) Flashcards

1
Q

What is eosinophilic granulomatosis with polyangitis?

A

= an extremely RARE auto-immune condition that causes inflammation of small & medium sized blood vessels (vasculitis) in persons with history of hypersensitivity allergic alveolitis

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2
Q

what does it classically present with in early adulthood?

A
  • with allergic rhinitis

- & asthma that is difficult to control

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3
Q

what blood result would indicate eosinophilic granulomatosis with polyangitis?

A

peripheral blood eosinophils > 10%

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4
Q

what symptoms would you have?

A
  • tender nodules on skin
  • peripheral nerve involvement
  • heart tract
  • kidney tract
  • GI tract
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5
Q

what would the chest X- ray show?

A
  • migratory patchy opacities that may be accompanied by nodules & pleural effusion
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6
Q

what 2 tests could be done?

A

1) bronchoalveolar lavage

2) biopsy

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7
Q

how would you treat it?

A

corticosteroids & additional immunosuppressant for severe disease

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