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A case of Churg-Strauss syndrome complicated with bilateral central retinal artery occlusion
Ken Uchibori, Emi Shinohara, Haruhiko Furusawa, Shinichiro Tominaga, Ichiro Natsume, Minoru Ohkouchi
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- 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
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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.
Keywords
Churg-Strauss syndrome, allergic granulomatosis and angiitis, central retinal artery occlusion, eosinophilia, multiple mononeuropathy
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