Allergic granulomatous vasculitis aged 1 patient diagnosis and treatment.docVIP

 PAGE \* MERGEFORMAT 9 Allergic granulomatous vasculitis aged 1 patient diagnosis and treatment [Keywords:] granuloma, vasculitis Allergic granulomatous vasculitis, also known as Churg Strauss syndrome (CSS. is a kind of asthma, blood and tissue eosinophilia, extravascular necrotizing granulomas, characterized by systemic vasculitis. The clinical rare disease, foreign reports about the incidence rate of 2.2 ~ 6.8 / million (1), easily missed clinically. This paper summarizes one case diagnosis and treatment of elderly patients with CSS in order to enhance the clinician’s understanding of the disease. 1 Case Summary Female patients, aged 71, due to wheezing, shortness of breath 3 years, 2 more than a month increase in November 2007 admission. The patient in December 2004 from the intermittent dry cough, wheezing, shortness of breath, repeated at a local hospital to give resistance to infection, asthma .2005 symptoms improved after treatment, chest CT examination in June found that lung flakes, ground glass-like changes, as the right lung (Figure 1, were not special treatment. 2 more than a month before admission the recurrence of symptoms and asthma again and antibiotics ineffective treatment, intermittent use of oral or intravenous corticosteroids, symptoms of good and bad. During the investigation blood showed WBC 12.2 109 / L ~ 17.7 109 / L, eosinophils 12% ~ 20%, review Chest CT showed significantly expanded the scope of the right lung lesions, small pieces left lung consolidation and small nodules, and signs of bilateral pleural effusion and small pericardial effusion (Figure 1. Admission physical examination: height 150 cm, weight 60 kg, vital signs stable, the spirit of poor sitting position, lips cyanosis, wheezing lungs covered, the bottom and side of the chest, lungs and moist rales could be heard, without distortion, and tenderness of limbs, no other positive signs. routine blood test showed white blood cells after admission 12.8 109