Churg-Strauss 증후군의 캡슐 내시경 소견 1예
A case of capsule endoscopic finding on Churg-Strauss syndrome with gastrointestinal involvement
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초록
저자들은 기관지 천식, 부비동염, 말초혈액에서 호산구증가증을 보인 환자에서 미국 류마티스 협회(American college of rheumatology, 1990) 진단 기준으로 Churg- Struass 증후군으로 진단하였다. 내시경 검사를 시행하여 소화관을 침범한 Churg-Struass 증후군을 확인 하였다. 위 및 소장을 침범한 Churg-Struass 증후군을 캡슐 내시경으로 관찰하여 본 증례를 문헌고찰과 함께 보고하는 바이다.
Abstract
Churg-Strauss syndrome is a disorder of hypereosinophilia and systemic vasculitis in subjects with asthma and allergic rhinitis. Clinically, this syndrome can be involved with various manifestations of disease of lung, heart, skin, musculoskeletal system, nerve system, gastrointestinal and hepatobiliary tract. Gastrointestinal manifestations often occur in patients. However, endoscopic finding is rare because of risk on intestinal perforation and hemorrhage in vasculitis-phase. We experienced a case of Churg-Strauss syndrome in a 27-year-old male patient with severe abdominal pain and diarrhea. He also showed leukocytosis with peripheral eosinophilia, bronchial asthma, and chronic paranasal sinusitis. Based on findings, we suggested Churg-Strauss syndrome with gastrointestinal involvement and he received a capsules endoscopy and gastroduodenal endoscopy. Capsules endoscopy showed diffuse erythema and mucosal edema on proximal jejunum to ileum, which meant the Churg-Strauss syndrome with gastrointestinal involvement. We report this case with a review of the relevant literatures.(Korean J Med 70:719-724, 2006)
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