Eosinophilic granulomatosis with polyangiitis associated with abducens nerve palsy

被引：0

作者：

Toma, Chiara ^{[1
,2
]}

Sindaco, Daniele ^{[1
,2
]}

Musolino, Maria ^{[1
,2
]}

Traverso, Carlo Enrico ^{[1
,2
]}

Iester, Michele ^{[1
,2
]}

Vagge, Aldo ^{[1
,2
]}

机构：

[1] IRCCS Osped Policlin San Martino, Genoa, Italy

[2] Univ Genoa, DiNOGMI, Clin Oculist, Genoa, Italy

来源：

JOURNAL OF AAPOS | 2022年 / 26卷 / 06期

关键词：

CHURG-STRAUSS-SYNDROME; AMERICAN-COLLEGE;

D O I：

10.1016/j.jaapos.2022.08.266

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We present the case of a 61-year-old man who reported diplopia due to a right abducens nerve palsy. The patient complained of fever every night (37.5 degrees C), paresthesia of the second and third hand fingers, and he showed an increased C-reactive protein, high erythrocyte sedimentation rate, and high eosinophilia. He had a history of allergic asthma, chronic rhinosinusitis, and surgically treated nasal polyps. His past medical history and labs led us to identify the eosinophilic granulomatosis with polyangiitis (EGPA), also known as Churg-Strauss syndrome. EGPA is a potentially life-threatening condition, and a proper diagnosis was critical to managing this patient's abducens nerve palsy.

引用

页码：333 / 336

页数：5

共 10 条

[1] Ophthalmic Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss Syndrome): A Systematic Review of the Literature [J].

Akella, Sruti S. ;

Schlachter, Dianne M. ;

Black, Evan H. ;

Barmettler, Anne .

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, 2019, 35 (01) :7-16

[2] 2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis [J].

Chung, Sharon A. ;

Langford, Carol A. ;

Maz, Mehrdad ;

Abril, Andy ;

Gorelik, Mark ;

Guyatt, Gordon ;

Archer, Amy M. ;

Conn, Doyt L. ;

Full, Kathy A. ;

Grayson, Peter C. ;

Ibarra, Maria F. ;

Imundo, Lisa F. ;

Kim, Susan ;

Merkel, Peter A. ;

Rhee, Rennie L. ;

Seo, Philip ;

Stone, John H. ;

Sule, Sangeeta ;

Sundel, Robert P. ;

Vitobaldi, Omar, I ;

Warner, Ann ;

Byram, Kevin ;

Dua, Anisha B. ;

Husainat, Nedaa ;

James, Karen E. ;

Kalot, Mohamad A. ;

Lin, Yih Chang ;

Springer, Jason M. ;

Turgunbaev, Marat ;

Villa-Forte, Alexandra ;

Turner, Amy S. ;

Mustafa, Reem A. .

ARTHRITIS & RHEUMATOLOGY, 2021, 73 (08) :1366-1383

[3]

CURY D, 1956, ARCH OPHTHALMOL-CHIC, V55, P261

[4] Real-life evidence of low-dose mepolizumab efficacy in EGPA: a case series [J].

Detoraki, Aikaterini ;

Tremante, Eugenio ;

Poto, Remo ;

Morelli, Emanuela ;

Quaremba, Giuseppe ;

Granata, Francescopaolo ;

Romano, Antonio ;

Mormile, Ilaria ;

Rossi, Francesca Wanda ;

de Paulis, Amato ;

Spadaro, Giuseppe .

RESPIRATORY RESEARCH, 2021, 22 (01)

[5] NEUROPATHY IN THE HYPEREOSINOPHILIC SYNDROME [J].

DORFMAN, LJ ;

RANSOM, BR ;

FORNO, LS ;

KELTS, A .

MUSCLE & NERVE, 1983, 6 (04) :291-298

[6] Churg-Strauss syndrome - Clinical study and long-term follow-up of 96 patients [J].

Guillevin, L ;

Cohen, P ;

Gayraud, M ;

Lhote, F ;

Jarrousse, B ;

Casassus, P .

MEDICINE, 1999, 78 (01) :26-37

[7] Effects of eosinophils on nerve cell morphology and development: the role of reactive oxygen species and p38 MAP kinase [J].

Kingham, PJ ;

McLean, WG ;

Walsh, MT ;

Fryer, AD ;

Gleich, GJ ;

Costello, RW .

AMERICAN JOURNAL OF PHYSIOLOGY-LUNG CELLULAR AND MOLECULAR PHYSIOLOGY, 2003, 285 (04) :L915-L924

[8] THE AMERICAN-COLLEGE-OF-RHEUMATOLOGY 1990 CRITERIA FOR THE CLASSIFICATION OF CHURG-STRAUSS-SYNDROME (ALLERGIC GRANULOMATOSIS AND ANGIITIS) [J].

MASI, AT ;

HUNDER, GG ;

LIE, JT ;

MICHEL, BA ;

BLOCH, DA ;

AREND, WP ;

CALABRESE, LH ;

EDWORTHY, SM ;

FAUCI, AS ;

LEAVITT, RY ;

LIGHTFOOT, RW ;

MCSHANE, DJ ;

MILLS, JA ;

STEVENS, MB ;

WALLACE, SL ;

ZVAIFLER, NJ .

ARTHRITIS AND RHEUMATISM, 1990, 33 (08) :1094-1100

[9] Orbital inflammatory pseudotumor and ischemic vasculitis in Churg-Strauss syndrome - Report of two cases and review of the literature [J].

Takanashi, T ;

Uchida, S ;

Arita, M ;

Okada, M ;

Kashii, S .

OPHTHALMOLOGY, 2001, 108 (06) :1129-1133

[10] Isolated oculomotor nerve palsy in Churg-Strauss syndrome [J].

Tsuda, H ;

Ishikawa, H ;

Majima, T ;

Sawada, U ;

Mizutani, T .

INTERNAL MEDICINE, 2005, 44 (06) :638-640

← 1 →