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Churg–Strauss syndrome presenting with massive pericardial effusion

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Abstract

We describe a case of Churg-Strauss syndrome (CSS) presenting with a massive pericardial effusion without overt myocardial dysfunction. A 60-year-old man was referred to our hospital because of exertional dyspnea and fever. Initial chest multidetector-row computed tomography showed a massive pericardial effusion. The presence of eosinophilia, infiltrates of both lungs, pathological evidence of necrotizing vasculitis associated with eosinophilic infiltration, and history of asthma fulfilled the criteria of CSS. Massive pericardial effusion can be the first manifestation of cardiac involvement in CSS.

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References

  1. AL Katzenstein (2000) ArticleTitleDiagnostic features and differential diagnosis of Churg–Strauss syndrome in the lung. A review Am J Clin Pathol 114 767–772 Occurrence Handle10.1309/F3FW-J8EB-X913-G1RJ Occurrence Handle1:STN:280:DC%2BD3crht1amuw%3D%3D Occurrence Handle11068552

    Article  CAS  PubMed  Google Scholar 

  2. AT Masi GG Hunder JT Lie BA Michel DA Bloch WP Arend LH Calabrese SM Edworthy AS Fauci RY Leavitt (1990) ArticleTitleThe American College of Rheumatology 1990 Criteria for the classification of Churg–Strauss syndrome (allergic granulomatosis and angitis) Arthritis Rheum 33 1094–1100 Occurrence Handle1:STN:280:DyaK3czlvVyqsA%3D%3D Occurrence Handle2202307 Occurrence Handle10.1002/art.1780330806

    Article  CAS  PubMed  Google Scholar 

  3. J Churg L Strauss (1951) ArticleTitleAllergic angitis and periarteritis nodosa Am J Pathol 27 277–301 Occurrence Handle1:STN:280:DyaG3M%2FkvVyisw%3D%3D Occurrence Handle14819261

    CAS  PubMed  Google Scholar 

  4. PB Hasley WP Follansbee JL Coulehan (1990) ArticleTitleCardiac manifestations of Churg–Strauss syndrome: report of a case and review of the literature Am Heart J 120 996–999 Occurrence Handle10.1016/0002-8703(90)90227-O Occurrence Handle1:STN:280:DyaK3M%2Fit1eksA%3D%3D Occurrence Handle2220558

    Article  CAS  PubMed  Google Scholar 

  5. F Terasaki T Hayashi Y Hirota M Okabe M Suwa H Deguchi Y Kitaura K Kawamura (1997) ArticleTitleEvolution to dilated cardiomyopathy from acute eosinophilic pancarditis in Churg–Strauss syndrome Heart Vessels 12 43–48 Occurrence Handle10.1007/BF01747501 Occurrence Handle1:STN:280:DyaK2svjsVKqsw%3D%3D Occurrence Handle9288559

    Article  CAS  PubMed  Google Scholar 

  6. P Alter B Maisch (2006) ArticleTitleEndomyocardial fibrosis in Churg–Strauss syndrome by cardiac magnetic resonance imaging Int J Cardiol 108 112–113 Occurrence Handle10.1016/j.ijcard.2005.02.019 Occurrence Handle16516704

    Article  PubMed  Google Scholar 

  7. M Kozak EA Gill LS Green (1994) ArticleTitleThe Churg–Strauss syndrome. A case report with angiographically documented coronary involvement and a review of the literature Chest 107 578–580

    Google Scholar 

  8. S Hellemans J Dens D Knockaert (1997) ArticleTitleCoronary involvement in the Churg–Strauss syndrome Heart 77 576–578 Occurrence Handle1:STN:280:DyaK2szntFSrsA%3D%3D Occurrence Handle9227307

    CAS  PubMed  Google Scholar 

  9. NG Uren PJ Hammond (1991) ArticleTitleMyopericarditis in Churg–Strauss syndrome Tex Heart Inst J 18 127–131 Occurrence Handle1:STN:280:DC%2BD2czisFOgsw%3D%3D Occurrence Handle15227496

    CAS  PubMed  Google Scholar 

  10. A Sharma B De Varennes AD Sniderman (1993) ArticleTitleChurg–Strauss syndrome presenting with marked eosinophilia and pericardial effusion Can J Cardiol 9 329–330 Occurrence Handle1:STN:280:DyaK3s3ptF2ruw%3D%3D Occurrence Handle8513426

    CAS  PubMed  Google Scholar 

  11. S-J Wang Y-H Yang Y-T Lin M-J Tsai B-L Chiang (2000) ArticleTitleChildhood Churg–Strauss syndrome: report of a case J Microbiol Immunol Infect 33 263–266 Occurrence Handle1:STN:280:DC%2BD3M7mslGntg%3D%3D Occurrence Handle11269373

    CAS  PubMed  Google Scholar 

  12. EW Lau DM Carruthers N Prasad (2004) ArticleTitleChurg–Strauss syndrome as an unusual cause of spontaneous atraumatic intra-pericardial thrombosis Eur J Echocardiogr 5 65–67 Occurrence Handle10.1016/S1525-2167(03)00037-4 Occurrence Handle1:STN:280:DC%2BD2c3hsFWnuw%3D%3D Occurrence Handle15113013

    Article  CAS  PubMed  Google Scholar 

  13. C Stoellberger J Finsterer W-B Winkler (2005) ArticleTitleEosinophilic pericardial effusion in Churg–Strauss syndrome Resp Med 99 377–379 Occurrence Handle10.1016/j.rmed.2004.07.017

    Article  Google Scholar 

  14. A Frustaci N Gentiloni C Chimenti L Natale G Gasbarrini A Maseri (1998) ArticleTitleNecrotizing myocardial vasculitis in Churg–Strauss syndrome Chest 114 1484–1489 Occurrence Handle1:STN:280:DyaK1M%2FjvFKnsQ%3D%3D Occurrence Handle9824037

    CAS  PubMed  Google Scholar 

  15. S Hayashi S Furuya H Imamura (2001) ArticleTitleFulminant eosinophilic endomyocarditis in an asthmatic patient with pranlukast after corticosteroid withdrawal Heart 86 e7 Occurrence Handle10.1136/heart.86.3.e7 Occurrence Handle1:STN:280:DC%2BD3MvmvFChsA%3D%3D Occurrence Handle11514498

    Article  CAS  PubMed  Google Scholar 

  16. J Sagrista-Saulede J Angel G Permanyer-Miralda J Soler-Soler (1999) ArticleTitleLong-term follow-up of chronic pericardial effusion N Engl J Med 341 2054–2059 Occurrence Handle10.1056/NEJM199912303412704

    Article  Google Scholar 

  17. JP Smedema P van Paasen MJ van Kroonenburgh G Snoep HJ Crijns JW Tervaert (2004) ArticleTitleCardiac involvement of Churg Strauss syndrome demonstrated by magnetic resonance imaging Clin Exp Rheumatol 22 S75–S78 Occurrence Handle1:STN:280:DC%2BD2M%2FkslKjtA%3D%3D Occurrence Handle15675140

    CAS  PubMed  Google Scholar 

  18. SE Petersen A Kardos S Neubauer (2005) ArticleTitleSubendocardial and papillary muscle involvement in a patient with Churg–Strauss syndrome, detected by contrast enhanced cardiovascular magnetic resonance Heart 91 e9 Occurrence Handle10.1136/hrt.2004.050070 Occurrence Handle1:STN:280:DC%2BD2cnivV2gsA%3D%3D Occurrence Handle15604316

    Article  CAS  PubMed  Google Scholar 

  19. JM Morgan L Raposo DG Gibson (1989) ArticleTitleCardiac involvement in Churg–Strauss syndrome shown by echocardiography Br Heart J 62 462–466 Occurrence Handle1:STN:280:DyaK3c7gsFWjuw%3D%3D Occurrence Handle2605060

    CAS  PubMed  Google Scholar 

  20. B Maisch L Drude Kochsiek (1990) ArticleTitleImmunological features in a case of hypereosinophilic syndrome and myocarditis Heart Vessels 5 237–242 Occurrence Handle10.1007/BF02058696 Occurrence Handle1:STN:280:DyaK3M%2FjsFWmtA%3D%3D Occurrence Handle2228910

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Shinro Matsuo.

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Matsuo, S., Sato, Y., Matsumoto, T. et al. Churg–Strauss syndrome presenting with massive pericardial effusion. Heart Vessels 22, 128–130 (2007). https://doi.org/10.1007/s00380-006-0944-y

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  • DOI: https://doi.org/10.1007/s00380-006-0944-y

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