Korean Journal of Gastrointestinal Endoscopy 1999;19(6): 977-982.
충수돌기염과 하부장관 궤양출혈을 동반한 알레르기성 육아종증(Churg-Strauss Syndrome) 1예 ( A Case of Churg-Strauss Syndrome with Appendicitis and Lower Gastrointestinal Bleeding )
김태균(Tae Gyun Kim),노상영(Sang Young Noh),이영재(Young Jae Lee),김재영(Jae Young Kim),추영미(Young Mi Choo),문성배(Sung Bae Moon),최황(Whang Choi),이상헌(Sang Hun Lee),김재광(Jae Kwang Kim),선희식(Hee Sik Sun)
Abstract
Churg-Strauss Syndrome is a disorder of hypereosinophilia and systemic vasculitis in subjects with asthma and allergic rhinitis. Clinically, a multiple organ system can be involved with various manifestations of disease of lung, heart, skin, musculoskeletal system, nervous system, gastrointestinal and hepatobiliary tract. We experienced a case of Churg- Strauss syndrome presenting as the appendicitis and the lower gastrointestinal bleeding in a 37-year-old male patient with acute lower abdominal pain. He also showed peripheral eosinophilia, bronchial asthma, and mononeuritis multiplex. He initially received a high dose corticosteroid and was maintained with low doses of corticosteroid, cyclophosphomide and exchange plasmapheresis. (Korean J Gastrointest Endosc 19: 977∼982, 1999)