Abbasi F, Abbasi A, Rostamzadeh A, Banihashemi SZ, Rajabi A. Cardiac Mass and Cerebrovascular Accident as Primary Manifestations of Churg-Strauss Syndrome.
ARCHIVES OF IRANIAN MEDICINE 2023;
26:662-664. [PMID:
38310427 PMCID:
PMC10864941 DOI:
10.34172/aim.2023.97]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 07/03/2023] [Indexed: 02/05/2024]
Abstract
Churg-Strauss syndrome (CSS), recently named eosinophilic granulomatosis with polyangiitis (EGPA), is a rare form of systemic vasculitis with extravascular granulomas occurring in patients with asthma and tissue eosinophilia. We represent a large left ventricular granuloma, confirmed by histopathologic evaluation, detected as a ventricular mass by echocardiography in a 45-year-old asthmatic male who was admitted for a cerebrovascular accident. Paraclinical and histopathologic findings confirmed the diagnosis of EGPA. As cardiac involvement in patients with EGPA is associated with poor prognosis, routine echocardiographic evaluation of these patients is suggested.
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