A Case of Churg-Strauss Syndrome with Heart Failure Yosuke Takasawa 1 , Sumio Mizuno 1 , Junya Yamaguchi 1 , Masatomo Suzuki 1 , Masayuki Tsuchida 1 , Makoto Saga 1 , Hiromasa Kokado 1 , Katsushi Misawa 1 , Ikuo Moriuchi 1 , Tatsuaki Murakami 1 , Kazuo Ohsato 1 , Kiyonobu Wakabayashi 2 1Department of Cardiovascular Medicine, Fukui Cardiovascular Hospital 2Department of Pulmonary Medicine, Fukui Cardiovascular Hospital Keyword: チャーグ・ストラウス症候群 , 心不全 , ステロイド pp.1011-1015
Published Date 2015/10/15
DOI https://doi.org/10.11477/mf.1404205810
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 In our hospital, we treated a patient with Churg-Strauss syndrome(CCS)who experienced purple spot and numbness in the lower legs during treatment of bronchial asthma and developed heart failure. Electrocardiogram showed negative T waves in leads Ⅱ, Ⅲ, aVF, and V4-6 with QS pattern in V1-2 and ST elevation in V1-3. Cardiac enlargement and pleural effusion were observed on chest x-ray. In addition, blood test results showed a high pro-brain natriuretic peptide(proBNP)level. Wall motion abnormality was detected in the posterior and inferior walls on echocardiography. After the initiation of steroid therapy and diuretic administration, symptoms were improved immediately. Abnormal findings were not observed in coronary angiography and myocardial scintigraphy. There were no specific findings in endomyocardial biopsy probably because of steroid administration. CCS is a rare disease. For its cardiac complications known as a poor prognostic factor, early detection and early treatment are important.

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