Churg–Strauss syndrome presenting with eosinophilic prostatitis

Abstract

We report a patient with eosinophilic prostatitis associated with Churg-Strauss syndrome. A 74-year-old man, who had been treated for asthma, underwent transurethral resection of the prostate. After the operation he had a high temperature of approximately 40 ° C. The differential blood count revealed marked eosinophilia of 77.5%. The patient received 20-mg prednisolone and dramatically became afebrile. The pathological diagnosis was eosinophilic prostatitis. These findings strongly indicate ChurgStrauss syndrome.

Single-organ vasculitis

“…Prostatic vasculitis has been sporadically reported in association with systemic vasculitides, including PAN [42], Wegener's granulomatosis [28], microscopic polyangiitis [43], and Churg-Strauss syndrome [44]. Cases of SOV of the prostate have rarely been reported.…”

Nonasthmatic Churg–Strauss syndrome superimposed on chronic pyelonephritis: a case report

“…Several similar cases that lacked complete diagnostic criteria for CSS have been reported, and these cases were diagnosed only by tissue biopsy. [10][11][12][13] Clinicians should bear in mind that there are some atypical cases of CSS that do not always meet the diagnostic criteria, and tissue biopsies should be performed if the diagnosis is considered to be difficult.…”

Palpable purpura with foot drop: Common presentations in an uncommon disease

“…Eosinophilic granulomatosis with polyangitis is a rare disease, with an annual incidence of 0.5–4.2 cases/10 6 . [ 1 ] It usually occurs between 14 and 79 years of age, with a mean age of 48 years;[ 6 ] pediatric cases have also been reported. [ 7 ]…”