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KMID : 1035620130010040388
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Allergy Asthma & Respiratory Disease
2013 Volume.1 No. 4 p.388 ~ p.390
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Churg-Strauss syndrome presenting as acute acalculous cholecystitis
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Lee Woo-Joo
Hwang Ji-Won
Kim Eun
Yoon Se-Hyo
Ha Jung-Min
Yoon Na-Ra
Lee Byung-Jae
Choi Dong-Chull
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Abstract
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Churg-Strauss syndrome (CSS) is a rare systemic vasculitis. It is characterized by peripheral eosinophilia, asthma, neuropathy, skin manifestation, and less frequently gastrointestinal tract symptoms. Here we report a case of CSS which is initially manifested as acute acalculous cholecystitis. A 67-year-old asthmatic woman visited Emergency Room because of acute abdominal pain. Computed tomography showed acalculous cholecystitis and laparoscopic cholecystectomy was done. Pathology of gallbladder showed marked eosinophilic infiltration with necrotizing vasculitis and granuloma. On the basis of asthma, sinusitis, lung infiltration, combined peripheral eosinophilia and neuropathy, the patient was diagnosed as CSS. To our knowledge, this is the first case of pathologically proven eosinophilic cholecystitis in Korea.
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KEYWORD
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Churg-Strauss syndrome, Acalculous cholecystitis, Vasculitis
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