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Churg–Strauss Syndrome

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Systemic Vasculitis

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Churg–Strauss syndrome is a rare diffuse vasculitis that is closely associated with a severe asthma. The clinical diagnosis may be difficult in the early stages. Nevertheless, the onset of severe asthma in an adult and the emergence of extrarespiratory manifestations should alert one to the probable diagnosis of Churg–Strauss syndrome. Imaging is useful to assess the cardiorespiratory system and the sinus cavities. Pathological confirmation can be challenging as the characteristic histological features are often incomplete. Prognosis is usually good with corticosteroid therapy alone or in combination with immunosuppressive drugs.

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References

  • Abril A, Calamia KT, Cohen MD (2003) The Churg Strauss syndrome (allergic granulomatous angiitis): review and update. Semin Arthritis Rheum 33:106–114

    Article  PubMed  Google Scholar 

  • Abu-Shakra M, Smythe H, Lewtas J et al (1994) Outcome of polyarteritis nodosa and Churg–Strauss syndrome. An analysis of twenty-five patients. Arthritis Rheum 37:1798–1803

    Article  PubMed  CAS  Google Scholar 

  • Alter P, Maisch B (2006) Endomyocardial fibrosis in Churg–Strauss syndrome assessed by cardiac magnetic resonance imaging. Int J Cardiol 108:112–113

    Article  PubMed  Google Scholar 

  • Beduneau G, Berard H, Dominique S et al (2005) Rechute de syndrome de Churg et Strauss sous antileucotriène. Rev Med Interne 26:829–837

    Article  Google Scholar 

  • Bohl S, Schulz-Menger J (2010) Cardiovascular magnetic resonance imaging of non-ischaemic heart disease: established and emerging applications. Heart Lung Circ 19:117–132

    Article  PubMed  Google Scholar 

  • Boyer D, Vargas SO, Slattery D et al (2006) Churg–Strauss syndrome in children: a clinical and pathologic review. Pediatrics 118:e914–e920

    Article  PubMed  Google Scholar 

  • Castaner E, Alguersuari A, Gallardo X et al (2010) When to suspect pulmonary vasculitis: radiologic and clinical clues. Radiographics 30:33–53

    Article  PubMed  Google Scholar 

  • Chakravarty K (1997) Vasculitis by organ systems. Baillieres Clin Rheum 2:357–393

    Article  Google Scholar 

  • Chumbley LC, Harrison EG Jr, DeRemee RA (1977) Allergic granulomatosis and angiitis (Churg–Strauss syndrome). Report and analysis of 30 cases. Mayo Clin Proc 52:477–484

    PubMed  CAS  Google Scholar 

  • Chung MP, Yi CA, Lee HY, Han J et al (2010) Imaging of pulmonary vasculitis. Radiology 2:322–341

    Article  Google Scholar 

  • Churg J, Strauss L (1951) Allergic angiitis and periarteritis nodosa. Am J Pathol 27:277–301

    PubMed  CAS  Google Scholar 

  • Churg A, Brallas M, Cronin SR et al (1995) Formes frustes of Churg–Strauss syndrome. Chest 108:320–323

    Article  PubMed  CAS  Google Scholar 

  • Cottin V, Cordier JF (2003) Churg–Strauss syndrome. Rev Pneumol Clin 59:17–24

    PubMed  CAS  Google Scholar 

  • Davies DJ (2005) Small vessel vasculitis. Cardiovasc Pathol 14:335–346

    Article  PubMed  Google Scholar 

  • Della Rossa A, Baldini C, Tavoni A et al (2002) Churg–Strauss syndrome: clinical and serological features of 19 patients from a single Italian centre. Rheumatology 41:1286–1294

    Article  PubMed  CAS  Google Scholar 

  • Dennert RM, Van Paassen P, Schalla S et al (2010) Cardiac Involvement in Churg–Strauss syndrome. Arthritis Rheum 62:627–634

    PubMed  Google Scholar 

  • Dietz A, Hubner C, Andrassy K (1998) Macrolide antibiotic-induced vasculitis (Churg–Strauss syndrome). Laryngorhinootologie 77:111–114

    Article  PubMed  CAS  Google Scholar 

  • Esposito A, De Cobelli F, Belloni E et al (2010) Magnetic resonance imaging of a hypereosinophilic endocarditis with apical thrombotic obliteration in Churg–Strauss syndrome complicated with acute abdominal aortic embolic occlusion. Int J Cardiol 143:e48–e50

    Article  PubMed  Google Scholar 

  • Fries JF, Hunder GG, Bloch DA et al (1990) The American College of Rheumatology 1990 criteria for the classification of vasculitis. Summary. Arthritis Rheum 33:1135–1136

    Article  CAS  Google Scholar 

  • Gaskin G, Clutterbuck EJ, Pusey CD (1991) Renal disease in the Churg–Strauss syndrome. Diagnosis, management and outcome. Contrib Nephrol 94:58–65

    PubMed  CAS  Google Scholar 

  • Gayraud M, Guillevin L, le Toumelin P et al (2001) Longterm followup of polyarteritis nodosa, microscopic polyangiitis, and Churg–Strauss syndrome: analysis of four prospective trials including 278 patients. Arthritis Rheum 44:666–675

    Article  PubMed  CAS  Google Scholar 

  • Guillevin L, Pagnoux C (2006) Principales vascularites nécrosantes systémiques. EMC (Elsevier SAS, Paris), Appareil locomoteur, 14-245-F-10

    Google Scholar 

  • Guillevin L, Le Thi Huong D, Godeau P et al (1988) Clinical findings and prognosis of polyarteritis nodosa and Churg–Strauss angiitis: a study in 165 patients. Br J Rheum 27:258–264

    Article  CAS  Google Scholar 

  • Guillevin L, Lhote F, Gayraud M et al (1996) Prognostic factors in polyarteritis nodosa and Churg–Strauss syndrome: a prospective study in 342 patients. Medicine 75:17–28

    Article  PubMed  CAS  Google Scholar 

  • Guillevin L, Cohen P, Gayraud M et al (1999) Churg–Strauss syndrome. Clinical study and long-term follow-up of 96 patients. Medicine 78:26–37

    Article  PubMed  CAS  Google Scholar 

  • Guillevin L, Pagnoux C, Cohen P (2004) Syndrome de Churg–Strauss. Rev Fr Allergol Ammunol Clin 44:96–102

    Google Scholar 

  • Guilpain P, Viallard JF, Lagarde P et al (2002) Churg–Strauss syndrome in two patients receiving montelukast. Rheumatology 41:535–539

    Article  PubMed  CAS  Google Scholar 

  • Haas C, Geneau C, Odinot JM et al (1991) Allergic angiitis with granulomatosis: Churg–Strauss syndrome. Retrospective study of 16 cases. Ann Med Interne (Paris) 142:335–342

    CAS  Google Scholar 

  • Haas C, Le Jeunne C, Choubrac P et al (2001) Churg–Strauss syndrome. Retrospective study of 20 cases. Bull Acad Nat Med 185:1113–1130

    PubMed  CAS  Google Scholar 

  • Hoffman G, Langford C (2005) Are they different forms of life in the antineutrophil cytoplasmic antibody universe (editorial)? Ann Intern Med 143:683–685

    PubMed  Google Scholar 

  • Hunsaker JC, O’Connor WN, Lie JT (1992) Spontaneous coronary arterial dissection and isolated eosinophilic coronary arteritis: sudden cardiac death in a patient with a limited variant of Churg–Strauss syndrome. Mayo Clin Proc 67:761–766

    PubMed  Google Scholar 

  • Huong DLT, De Gennesl C, Papal T et al (1996) Manifestations pleuropulmonaires des vascularites systémiques. Rev Med Interne 17:640–652

    Article  PubMed  CAS  Google Scholar 

  • Imai H, Nakamoto Y, Hirokawa M et al (1989) Carbamazepine-induced granulomatous necrotizing angiitis with acute renal failure. Nephron 51:405–408

    Article  PubMed  CAS  Google Scholar 

  • Jennette JC, Falk RJ, Andrassy K et al (1994) Nomenclature of systemic vasculitides: proposal of an international consensus conference. Arthritis Rheum 37:187–192

    Article  PubMed  CAS  Google Scholar 

  • Kallenberg CG (2005) Churg–Strauss syndrome: just one disease entity (editorial)? Arthritis Rheum 52:2589–2593

    Article  PubMed  Google Scholar 

  • Keogh KA, Specks U (2006) Churg–Strauss syndrome. Semin Respir Crit Care Med 27:148–157

    Article  PubMed  Google Scholar 

  • Khasnis A, Langford CA (2009) Update on vasculitis. J Allerg Clin Immunol 123:1226–1236

    Article  Google Scholar 

  • Kim YK, Lee KS, Chung MP et al (2007) Pulmonary involvement in Churg–Stauss syndrome: an analysis of CT, clinical, and pathologic findings. Eur Radiol 17:3157–3165

    Article  PubMed  Google Scholar 

  • Lanham JG, Churg J (1991) Churg–Strauss syndrome. In: Churg A, Churg J (eds) Systemic vasculitides. Igaku-Shoin, New York, pp 101–120

    Google Scholar 

  • Lanham JG, Elkon KB, Pusey CD et al (1984) Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg–Strauss syndrome. Medicine 63:65–81

    Article  PubMed  CAS  Google Scholar 

  • Langford CA (2010) Vasculitis. J Allerg Clin Immunol S216–S225

    Google Scholar 

  • Lesens O, Hansmann Y, Nerson J et al (2002) Severe Churg-Strauss syndrome with mediastinal lymphadenopathy treated with interferon therapy. Eur J Intern Med 13:458–462

    Article  PubMed  Google Scholar 

  • Levin DL, Edinburgh KJ, Hatabu H (1999) Churg–Strauss syndrome. Eur J Radiol 29:149–151

    Article  PubMed  CAS  Google Scholar 

  • Lhote F (2007) Syndrome de Churg et Strauss. Presse Med 36:875–889

    Article  PubMed  Google Scholar 

  • Lhote F, Cohen P, Guilpain P et al (2008) Syndrome de Churg et Strauss. Rev Prat 58:1165–1174

    PubMed  Google Scholar 

  • Lie JT (1995) Histopathologic specificity of systemic vasculitis. Rheum Dis Clin North Am 21:883–910

    PubMed  CAS  Google Scholar 

  • Lin TL, Wang CR, Liu MF (2001) Multiple colonic ulcers caused by Churg–Strauss syndrome in a 15-year-old girl. Clin Rheum 20:362–364

    Article  CAS  Google Scholar 

  • Luqmani R, Exley A, Kitas G et al (1997) Disease assessment and management of the vasculitides. Clin Rheumatol 11:424–446

    Google Scholar 

  • Mahr A, Guillevin L, Poissonnet M et al (2004) Prevalences of polyarteritis nodosa, microscopic polyangiitis, Wegener’s granulomatosis, and Churg–Strauss syndrome in a French urban multiethnic population in 2000: a capture–recapture estimate. Arthritis Rheum 51:92–99

    Article  PubMed  Google Scholar 

  • Masi AT, Hunder GG, Lie JT et al (1990) The American College of Rheumatology 1990 criteria for the classification of Churg–Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum 33:1094–1100

    Article  PubMed  CAS  Google Scholar 

  • Mathur S, Dooley J, Scheuer PJ (1990) Quinine induced granulomatous hepatitis and vasculitis. BMJ 300:613

    Article  PubMed  CAS  Google Scholar 

  • Mavrogeni S, Tsirogianni AK, Gialafos EJ et al (2009) Detection of myocardial inflammation by contrast-enhanced MRI in a patient with Churg–Strauss syndrome. Int J Cardiol 131:e54–e55

    Article  PubMed  CAS  Google Scholar 

  • Neumann T, Manger B, Schmid M et al (2009) Cardiac involvement in Churg–Strauss syndrome. Impact of endomyocarditis. Medicine 88:236–243

    Article  PubMed  Google Scholar 

  • Noth I, Strek ME, Leff AR (2003) Churg–Strauss syndrome. Lancet 361:587–594

    Article  PubMed  Google Scholar 

  • Ouertani D, Smiti Khanfir M, Larbi T et al (2009) Entéropathie exsudative au cours d’un syndrome de Churg et Strauss. Rev Med Interne 30:S77–S151

    Google Scholar 

  • Ozen S, Fuhlbrigge RC (2009) Update in paediatric vasculitis. Best Pract Res Clin Rheum 23:679–688

    Article  Google Scholar 

  • Pela G, Tirabassi G, Pattoneri P et al (2006) Cardiac involvement in the Churg–Strauss syndrome. Am J Cardiol 97:1519–1524

    Article  PubMed  Google Scholar 

  • Pipitone N, Salvarani C (2008) Role of imaging in vasculitis and connective tissue diseases. Best Pract Res Clin Rheum 6:1075–1091

    Article  Google Scholar 

  • Puéchal X (2007) Antineutrophil cytoplasmic antibody-associated vasculitides. Rev Rhum 74:824–832

    Article  Google Scholar 

  • Reid AJ, Harrison BD, Watts RA et al (1998) Churg–Strauss in a district hospital. QJM 91:219–229

    Article  PubMed  CAS  Google Scholar 

  • Ribi C, Cohen P, Pagnoux C et al (2008) Treatment of Churg–Strauss syndrome without poor-prognosis factors: a multicenter, prospective, randomized open-label study of seventy-two patients. Arthritis Rheum 58:586–594

    Article  PubMed  CAS  Google Scholar 

  • Rosato E, Vitarelli A, Pisarri S et al (2009) An unusual manifestation in a patient with Churg–Strauss syndrome: isolated cardiac septum involvement. Joint Bone Spine 76:718–725

    Article  Google Scholar 

  • Roux M, Fabre M (2004) Macrolide-induced Churg–Strauss syndrome. Eur J Intern Med 15:474

    Article  PubMed  Google Scholar 

  • Sablé-Fourtassou R, Cohen P, Mahr A et al (2005) Antineutrophil cytoplasmic antibodies and the Churg–Strauss syndrome. Ann Intern Med 143:632–638

    PubMed  Google Scholar 

  • Saka N, Seo T, Shimano K et al (2009) A case of Churg–Strauss syndrome with refractory otitis media. Auris Nasus Larynx 36:79–81

    Article  PubMed  Google Scholar 

  • Sakamoto S, Ohba S, Eguchi K et al (2005) Churg–Strauss syndrome presenting with subarachnoid hemorrhage from ruptured dissecting aneurysm of the intracranial vertebral artery. Clin Neurol Neurosurg 107:428–431

    Article  PubMed  Google Scholar 

  • Sauvetre G, Faresb J, Caudron J et al (2010) Usefulness of magnetic resonance imaging in Churg–Strauss syndrome related cardiac involvement. A case series of three patients and literature review. Rev Med Interne 31:600–605

    Article  PubMed  CAS  Google Scholar 

  • Sinico RA, Bottero P (2009) Churg–Strauss angiitis. Res Clin Rheum 23:355–366

    Article  Google Scholar 

  • Solans R, Bosh JA, Pérez-Bocanegra C et al (2001) Churg–Strauss syndrome: outcome and long term follow-up of 32 patients. Rheumatology 40:763–771

    Article  PubMed  CAS  Google Scholar 

  • Szwarc D, Veillon F, Moser T et al (2009) Syndrome de Churg–Strauss sous omalizumab: une manifestation viscérale exceptionnelle. J Radiol 90:1737–1739

    Article  PubMed  CAS  Google Scholar 

  • Takanashi T, Uchida S, Arita M et al (2001) Orbital inflammatory pseudotumor and ischemic vasculitis in Churg–Strauss syndrome: report of two cases and review of the literature. Ophthalmology 108:1129–1133

    Article  PubMed  CAS  Google Scholar 

  • Val-Bernal JF, Mayorga M, Garcı-Alberdi E et al (2003) Churg–Strauss syndrome and sudden cardiac death. Cardiovasc Pathol 12:94–97

    Article  PubMed  Google Scholar 

  • Vallejo E, Mendoza-Gonzalez C, Aranda A (2004) Churg–Strauss syndrome and myocardial perfusion SPECT imaging. J Nucl Cardiol 3:358–360

    Article  Google Scholar 

  • Vignaux O, Marmursztejn J, Cohen P et al (2007) Imagerie cardiaque dans les vascularites associAces aux ANCA. Presse Med 36:902–906

    Article  PubMed  Google Scholar 

  • Wassmuth R, Göbel U, Natusch A et al (2008) Cardiovascular magnetic resonance imaging detects cardiac involvement in Churg–Strauss syndrome. J Card Fail 10:856–860

    Article  Google Scholar 

  • Watts RA, Scott DGI, Lane SE (2002) Epidemiology of Wegener’s granulomatosis, microscopic polyangiitis and Churg–Strauss syndrome. Cleve Clin J Med 69(Suppl 2):84–89

    Google Scholar 

  • Wechsler ME, Finn D, Gunawardena D et al (2000) Churg–Strauss syndrome in patients receiving montelukast as treatment for asthma. Chest 117:708–713

    Article  PubMed  CAS  Google Scholar 

  • Zwerina J, Eger G, Englbrecht M, Manger B, Schett G (2008) Churg–Strauss syndrome in childhood: a systematic literature review and clinical comparison with adult patients. Semin Arthritis Rheum 39:108–115

    Article  PubMed  Google Scholar 

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Correspondence to M. Habib Bouhaouala .

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Bouhaouala, M.H. et al. (2011). Churg–Strauss Syndrome. In: Hendaoui, L., Stanson, A., Bouhaouala, M., Joffre, F. (eds) Systemic Vasculitis. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_291

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