A case of Churg-Strauss syndrome complicated with bilateral central retinal artery occlusion

  • Ken Uchibori | k-uchibori@hp.pref.hyogo.jp Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
  • Emi Shinohara Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
  • Haruhiko Furusawa Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
  • Shinichiro Tominaga Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
  • Ichiro Natsume Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
  • Minoru Ohkouchi Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka, Japan.

Abstract

A 56-year-old Japanese woman treated for bronchial asthma came to our hospital because of sudden vision loss of the left eye and plantar numbness of the right foot. Central retinal artery occlusion (CRAO) was diagnosed. Vision loss of the right eye also appeared, and the numbness of the right foot worsened. She was diagnosed with Churg-Strauss syndrome (CSS) due to bronchial asthma, eosinophilia, and vasculitis (CRAO and numbness). Her symptoms were unresponsive to systemic corticosteroid therapy, but improved when cyclophosphamide pulse was added. Vision disorders are uncommon manifestations of CSS. Close co-ordination with ophthalmologists is important for diagnosis and treatment.

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Author Biographies

Ken Uchibori, Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka
pulmonary medicine
Emi Shinohara, Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka
Pulmonary Medicine
Haruhiko Furusawa, Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka
pulmonary medicine
Shinichiro Tominaga, Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka
pulmonary medicine
Ichiro Natsume, Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka
pulmonary medicine
Minoru Ohkouchi, Department of Pulmonology, Yokosuka Kyosai Hospital, Yokosuka
pulmonary medicine
Published
2013-07-24
Info
Issue
Section
Case Reports
Keywords:
Churg-Strauss syndrome, allergic granulomatosis and angiitis, central retinal artery occlusion, eosinophilia, multiple mononeuropathy
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How to Cite
Uchibori, K., Shinohara, E., Furusawa, H., Tominaga, S., Natsume, I., & Ohkouchi, M. (2013). A case of Churg-Strauss syndrome complicated with bilateral central retinal artery occlusion. Chest Disease Reports, 3(1), e1. https://doi.org/10.4081/cdr.2013.e1