급성 담낭염으로 처음 발현한 Churg-Strauss 증후군 1예
A Case of Churg-Strauss Syndrome Which First Presented as Acute Cholecystitis
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Churg-Strauss syndrome (CSS) is a systemic vasculitis which involves small to medium sized vessels and associated with bronchial asthma, extravascular necrotizing granulomas and peripheral eosinophilia. Although gastrointestinal symptoms are frequently accompanied by CSS, the most common manifestation is mild transient and easily controllable abdominal pain. There have been only a few reports on CSS complicated with acalculous cholecystitis. We recently experienced a case of acalculous cholecystitis in a 46-year-old female patient who had already been treated for bronchial asthma and maxillary sinusitis. Initial laboratory findings showed mild hypereosinophilia which was exponentially increased after admission, and peripheral neuropathy was newly developed. Acalculous cholecystitis was considered a part of CSS manifestation. We report a case of CSS which first presented with acute acalculous cholecystitis. (Korean J Asthma Allergy Clin Immunol 2008;28:143-147)
Abstract
Churg-Strauss syndrome (CSS) is a systemic vasculitis which involves small to medium sized vessels and associated with bronchial asthma, extravascular necrotizing granulomas and peripheral eosinophilia. Although gastrointestinal symptoms are frequently accompanied by CSS, the most common manifestation is mild transient and easily controllable abdominal pain. There have been only a few reports on CSS complicated with acalculous cholecystitis. We recently experienced a case of acalculous cholecystitis in a 46-year-old female patient who had already been treated for bronchial asthma and maxillary sinusitis. Initial laboratory findings showed mild hypereosinophilia which was exponentially increased after admission, and peripheral neuropathy was newly developed. Acalculous cholecystitis was considered a part of CSS manifestation. We report a case of CSS which first presented with acute acalculous cholecystitis. (Korean J Asthma Allergy Clin Immunol 2008;28:143-147)
참고문헌 (20)
- Peter F. Weller, "Eosinophilia and eosinophil-related disorders. In N. Franklin Adkinson, JR (ed.): Middleton’s allergy principles and practice. 6th ed", pp.118~1120 (2003), Mosby Inc., Philadelphia
- Martin RM, "Prevalence of Churg-Strauss syndrome, vasculitis, eosinophilia and associated conditions: retrospective analysis of 58 prescription-event monitoring cohort studies", Pharmacoepidemiol Drug Saf, 8, pp.179~789 (1999)
- Watts RA, "Epidemiology of systemic vasculitis: a ten-year study in the United Kingdom", Arthritis Rheum, 43, pp.414~419 (2000)
- Oh MJ, "Churg-Strauss syndrome: the clinical features and long-term follow-up of 17 patients", J Korean Med Sci, 21, pp.265~271 (2006)
- Jung SH, "A case of Churg-Strauss syndrome with manifestations of esophageal ulcer, acute acalculous cholecystitis and ischemic colitis", Korean J Med, 45, pp.369~375 (1993)
- diagnosis, "Persley. Acalculous cholecystitis, cholesterolosis, adenomyomatosis, and polyps of the gallbladder. In Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt (ed.): Sleisenger & Fordtran’s gastrointestinal and liver disease pathophysiology", pp.Saunders Elsevier, Philadephia, management. 8th ed
- Fernandes SR, "Acute cholecystitis at initial presentation of polyarteritis nodosa", Clin Rheumatol, 24, pp.625~627 (2005)
- De-Leon-Bojorge B, "Zaltzman-Girsevich S, Ortega-Salgado A, Prieto-Patron A, Cordoba-Cordoba R, Yamazaki-Nakashimada M. Thrombotic microangiopathy involving the gallbladder as an unusual manifestation of systemic lupus erythematosus and antiphospholipid syndrome: Case report and review of the literature", World J Gastroenterol, 12, pp.7206~7209 (2006)
- Hegarty J, "Systemic lupus erythematosus, eosinophilic vasculitis and acalculous cholecystitis", Nephrol Dial Transplant, 21, pp.792~795 (2006)
- Chen KT, "Gallbladder vasculitis", J Clin Gastroenterol, 11, pp.537~540 (1989)
- Boggi U, "Surviving catastrophic gastrointestinal involvement due to Churg-Strauss syndrome: report of a case", Hepatogastroenterology, 44, pp.1169~1171 (1997)
- Imai H, "Allergic granulomatosis and angiitis (Churg-Strauss syndrome) presenting as acute acalculous cholecystitis", J Rheumatol, 17, pp.247~249 (1990)
- Pagnoux C, "Presentation and outcome of gastrointestinal involvement in systemic necrotizing vasculitides: analysis of 62 patients with polyarteritis nodosa, microscopic polyangiitis, Wegener granulomatosis, Churg-Strauss syndrome, or rheumatoid arthritis-associated vasculitis", Medicine (Baltimore), 84, pp.115~128 (2005)
- Tatsukawa H, "Churg-Strauss syndrome with cholecystitis and renal involvement", Intern Med, 42, pp.893~896 (2003)
- Nishie M, "Acute cholecystitis and duodenitis associated with Churg-Strauss syndrome", Hepatogastroenterology, 50, pp.998~1002 (2003)
- Ohwada S, "Necrotizing granulomatous vasculitis of transverse colon and gallbladder. Hepatogastroenterology", 44, pp.1090~1094 (1997)
- Rolla G, "Warning nonrespiratory symptoms in asthma: catastrophic abdominal involvement in a case of Churg-Strauss syndrome", Ann Allergy Asthma Immunol, 98, pp.595~597 (2007)
- Suzuki M, "Churg-Strauss syndrome complicated by colon erosion, acalculous cholecystitis and liver abscesses", World J Gastroenterol, 11, pp.5248~5250 (2005)
- Masi AT, "The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiits)", Arthritis Rheum, 33, pp.1094~1100 (1990)
- Guillevin L, "Prognostic factors in polyarteritis nodosa and Churg-Strauss syndrome. A prospective study in 342 patients", Medicine (Baltimore), 75, pp.17~28 (1996)