Abstract:
:A 33-year-old man with a two-year history of asthma and sinusitis presented with wheezing, pleuritis, bilateral pleural effusions, and patchy basilar infiltrates on chest roentgenogram. Laboratory studies revealed peripheral blood eosinophilia, and pulmonary function studies showed an obstructive pattern which was bronchodilator responsive. Thoracocentesis yielded an acidotic exudative effusion with low glucose, low C3, eosinophilia, and a markedly increased rheumatoid factor. Open lung biopsy revealed extensive eosinophilic interstitial pneumonitis with necrotizing eosinophilic vasculitis. Although pleural effusions are present in 29 percent of Churg-Strauss patients, these effusions have not been well described. This report describes the pleural fluid findings in a case of Churg-Strauss syndrome.
journal_name
Chestjournal_title
Chestauthors
Erzurum SC,Underwood GA,Hamilos DL,Waldron JAdoi
10.1378/chest.95.6.1357subject
Has Abstractpub_date
1989-06-01 00:00:00pages
1357-9issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(16)32680-0journal_volume
95pub_type
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