[A case of Churg-Strauss syndrome following corticosteroid withdrawal].
Nihon Jibiinkoka Gakkai Kaiho
; 112(6): 487-90, 2009 Jun.
Article
em Ja
| MEDLINE
| ID: mdl-19610591
ABSTRACT
A 56-year-old man with bilateral hearing impairment who had taken betamethasone combined with dexchlorpheniramine maleate for 7 years to treat chronic sinusitis developed a dry cough after discontinuing this medication and was diagnosed with asthma, and after which he sensed impaired bilateral hearing. Based on the presence of numerous eosinophilic leukocytes in otorrehea, we made a diagnosis of eosinophilic otitis media, and he was prescribed predonisolone to control the asthma, but discontinued it on his own. He then developed fever, maniphalanx stiffness, testicular pain, and facial hyperesthesia, eruptions, and the lower-limb numbness. The detection of a positive serum reaction for MPO-ANCA and evaluated of eosinophilic leukocyte levels yielded a definitive diagnosis of CSS, for which the man was treated with predonisolone and cyclophosphamide. His symptoms were relieved, even though the onset of neutropenia, necessitated the discontinuation of cyclophosphamade administration.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome de Abstinência a Substâncias
/
Prednisolona
/
Síndrome de Churg-Strauss
/
Glucocorticoides
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Nihon Jibiinkoka Gakkai Kaiho
Ano de publicação:
2009
Tipo de documento:
Article