Monday, January 08, 2018

Eosinophilic granulomatosis with polyangiitis (EGPA) aka Churg-Strauss syndrome: clinical presentations

This small case series contains a number of pearls. The typical presentation was that of neuropathic symptoms, usually in the lower extremity (mononeuritis and usually multiplex) in a patient with a history of asthma for years. Most had a rash resembling Janeway lesions. Consistent with what we have traditionally been taught, only about half had a positive ANCA, mainly P. Think of it if your asthmatic patient inexplicably begins complaining of foot pain or numbness.

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