Pediatric Churg‐Strauss syndrome in Mexico

Hernández-Bautista, Víctor Manuel; Espinosa‐Padilla, Sara Elva; Yamazaki‐Nakashimada, Marco Antonio; López-Lara, Deyanira; González-Serrano, Edith; Staines-Boone, Tamara; Espinosa-Rosales, Francisco

doi:10.1002/ppul.20351

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…To our knowledge this is the first case of CSS complicated by HVOO reported in the pediatric age group. Although the association between leukotriene antagonist, steroid withdrawal, and CSS is still controversial (7,9,21), in this child steroid withdrawal and introduction of a leukotriene antagonist occurred a few months before his presentation.…”

Section: Discussionmentioning

confidence: 93%

“…Kashef et al (8) described an 8‐year‐old girl with a prolonged history of cough and eosinophilia initially labeled as pulmonary tuberculosis, but after complementary assays and a skin biopsy showing eosinophilic fibrinoid vasculitis, CSS was eventually diagnosed. Hernandez‐Bautista et al (9) reported 2 cases in the pediatric age group. Both patients had hepatic and cardiac involvement in the form of cardiomegaly and elevated hepatic transaminases.…”

Section: Discussionmentioning

confidence: 99%

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Hepatic Venous Outflow Obstruction Complicating Churg‐Strauss Syndrome in a 5‐year‐old Child

Ghaffar

Elfaramawy

Saied

et al. 2011

J. pediatr. gastroenterol. nutr.

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H epatic venous outflow obstruction is uncommonly reported in children (1). Although it is a rare disease in populations with a high standard of living, it is a leading cause for liver-related hospital admission in others with a lower standard of living (2). Hepatic venous outflow obstruction may run an acute, chronic, or fulminant course. Although commonly manifested by abdominal pain, ascites, and hepatosplenomegaly, cases have been reported in which there was a complete absence of symptoms, this being strongly associated with large hepatic vein collaterals (3). The syndrome is caused by a wide variety of conditions, including congenital or acquired inferior vena caval webs, thrombotic, inflammatory, or neoplastic disorders (4).Churg-Strauss syndrome (CSS) is characterized by eosinophilia and systemic vasculitis and occurs in patients affected by asthma and allergic rhinitis (5). In 1990, the American College of Rheumatology developed diagnostic criteria for the syndrome, namely moderate to severe asthma, peripheral blood eosinophilia (>10%), mono-or polyneuropathy, nonfixed pulmonary infiltrates, paranasal sinus abnormality, and histological proof of vasculitis with extravascular eosinophilia. The presence of at least 4 of these criteria is required for diagnosis (6). Epidemiological association of CSS with the use of antileukotrienes suggested the possibility that, in some instances, CSS may be a drug-induced illness (7).

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Hepatic Venous Outflow Obstruction Complicating Churg‐Strauss Syndrome in a 5‐year‐old Child

Ghaffar

Elfaramawy

Saied

et al. 2011

J. pediatr. gastroenterol. nutr.

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“…Al presente se han descrito sólo unos pocos casos de pacientes mexicanos con esta enfermedad. [10][11][12][13][14][15] Para nuestro conocimiento, éste es el primer reporte donde se describe a la mononeuritis múltiple como manifestación inicial de GEP. Notablemente, las primeras manifestaciones clínicas se suelen observar en vías respiratorias, siendo subsecuente el daño al sistema nervioso periférico.…”

Section: Discussionunclassified

Mononeuritis múltiple como manifestación inicial en vasculitis de pequeños vasos: un reporte de caso en México

Contreras-Tovar¹,

Alvarado-Campos²,

Oca-Saucedo³

et al. 2022

Investigación en Discapacidad

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La granulomatosis eosinofílica con poliangeítis (GEP), también llamada síndrome de Churg-Strauss, es un trastorno sistémico de etiología desconocida. Este trastorno se caracteriza por vasculitis necrosante que afecta a vasos de pequeño a mediano calibre, con múltiples manifestaciones sistémicas. La vasculitis eosinófila puede implicar afección a múltiples órganos y sistemas, incluyendo los sistemas tegumentario, nervioso, pulmonar, cardiovascular, gastrointestinal y renal. La GEP es una enfermedad rara con una incidencia que varía de 2.4 a 4 casos casos/millón de habitantes/año en la población general. En este trabajo presentamos un caso clínico de un varón de 63 años de edad con GEP. A la fecha existen muy pocos reportes de pacientes mexicanos con esta enfermedad. Notablemente, en todos esos trabajos se ha descrito que las primeras manifestaciones clínicas se observan en las vías respiratorias, siendo subsecuente el daño al sistema nervioso periférico. Para nuestro conocimiento, nuestro paciente es el primer caso en México que presentó sintomatología de neuropatía periférica de rápida progresión al inicio de la enfermedad. Además, el paciente no presentó asma, una manifestación que la mayoría de los pacientes con GEP exhiben. En este contexto, es importante resaltar que, aunque la neuropatía periférica usualmente no afecta la supervivencia de los pacientes, el daño es generalmente permanente y puede causarles discapacidad física y deteriorar de manera significativa su calidad de vida. Por lo tanto, el diagnóstico y tratamiento oportunos son fundamentales.

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Churg–Strauss Syndrome in Childhood: A Systematic Literature Review and Clinical Comparison with Adult Patients

Zwerina

Eger

Englbrecht

et al. 2009

Seminars in Arthritis and Rheumatism

121

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Pediatric Churg‐Strauss syndrome in Mexico

Cited by 4 publications

References 18 publications

Hepatic Venous Outflow Obstruction Complicating Churg‐Strauss Syndrome in a 5‐year‐old Child

Hepatic Venous Outflow Obstruction Complicating Churg‐Strauss Syndrome in a 5‐year‐old Child

Mononeuritis múltiple como manifestación inicial en vasculitis de pequeños vasos: un reporte de caso en México

Churg–Strauss Syndrome in Childhood: A Systematic Literature Review and Clinical Comparison with Adult Patients

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