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KMID : 1035620190070040212
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Allergy Asthma & Respiratory Disease
2019 Volume.7 No. 4 p.212 ~ p.217
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A pediatric case of eosinophilic granulomatosis with polyangiitis accompanied by heart failure mimicking an asthma attack
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Kim Min-Jung
Lee Bo-Ra
Park Ji-Soo
Choi Yun-Jung
Song Mi-Kyoung
Lee So-Young
Suh Dong-In
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Abstract
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Eosinophilic granulomatosis with polyangiitis (EGPA, also known as the Churg-Strauss syndrome) is a disorder characterized by asthma, peripheral eosinophilia and systemic vasculitis. It rarely occurs in children, so that physicians may frequently mistake it for a simple uncontrolled asthma. Since a subsequent cardiac involvement is critical for the prognosis, it is important to suspect EGPA in children with severe, uncontrolled asthma. The cardiac manifestations in EGPA are variable from asymptomatic electrocardiogram abnormalities to pericarditis with pericardial effusion, myocarditis with cardiomyopathy, heart failure, and sudden cardiac death. Although delayed treatment may lead to fatal cardiac complications in EGPA, adequate immune suppression can reverse cardiac impairment. We report a 14-year-old girl with persistent asthma refractory to steroids who was eventually diagnosed with an anti-neutrophil cytoplasmic antibody-negative EGPA.
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KEYWORD
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Eosinophilic granulomatosis with polyangiitis, Churg-Strauss syndrome, Child
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