Massive Eosinophilic Pleural Effusion Preceding Vasculitic Symptoms in Churg-Strauss Syndrome
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概要
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We report a case of Churg-Strauss syndrome (CSS) presenting as a massive pleural effusion. A 52-year-old asthmatic Japanese woman presented with progressive dyspnea caused by an eosinophilic pleural effusion (EPE). She also had chronic sinusitis, skin lesions and blood eosinophilia, but no antineutrophil cytoplasmic antibodies. Skin biopsy and the late onset of mononeuritis multiplex led to the diagnosis of CSS. The pleural effusion resolved soon after corticosteroid treatment was started. CSS is rare as a cause of EPE, but should be included in the differential diagnosis of EPE in asthmatic patients. This is the first report showing that EPE can precede other vasculitic symptoms in CSS.
著者
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MAEDA Yuji
Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical
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Tanizawa Kiminobu
Department of Respiratory Medicine, Tenri Hospital
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Tanaka Eisaku
Department of Respiratory Medicine, Tenri Hospital
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Hashimoto Seishu
Department of Respiratory Medicine, Tenri Hospital
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Noma Satoshi
Department of Radiology, Tenri Hospital
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Kobashi Yoichiro
Department of Pathology, Tenri Hospital
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Taguchi Yoshio
Department of Respiratory Medicine, Tenri Hospital
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Kaji Yusuke
Department of Respiratory Medicine, Tenri Hospital
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Inoue Tetsuro
Department of Respiratory Medicine, Tenri Hospital
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Sakuramoto Minoru
Department of Respiratory Medicine, Tenri Hospital
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Minakuchi Masayoshi
Department of Respiratory Medicine, Tenri Hospital
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Maniwa Ko
Department of Respiratory Medicine, Tenri Hospital
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Terada Kunihiko
Department of Respiratory Medicine, Tenri Hospital
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Goto Shunsuke
Department of Respiratory Medicine, Tenri Hospital
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Takeda Tomoshi
Department of Respiratory Medicine, Tenri Hospital
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Okamoto Masaki
Department of Respiratory Medicine, Tenri Hospital
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Maniwa Ko
Department Of Respiratory Medicine Tenri Hospital
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Inoue Tetsuro
Department Of Obstetrics And Gynecology Kurume University School Of Medicine
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Okamoto Masaki
Department Of Applied And Bioapplied Chemistry Graduate School Of Engineering Osaka City University
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Taguchi Yoshio
Department Of Neurosurgery The Jikei University School Of Medicine
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Kobashi Yoichiro
Department Of Pathology Tenri Hospital
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Terada Kunihiko
Department Of Biochemistry Akita University School Of Medicine
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Minakuchi Masayoshi
Department Of Respiratory Medicine Tenri Hospital
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Maeda Yuji
Department Of Integrative Cancer Therapy And Urology Kanazawa University Graduate School Of Medical
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Noma Satoshi
Department Of Radiology Tenri Hospital
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Sakuramoto Minoru
Department Of Respiratory Medicine Tenri Hospital
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Goto Shunsuke
Department Of Respiratory Disease Kishiwada City Hospital
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TANAKA Eisaku
Department of Infectious Disease, Kyoto University
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Tanizawa Kiminobu
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University
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GOTO SHUNSUKE
Department of Anesthesiology, Kurume University School of Medicine
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