[A case of allergic granulomatosis and angiitis without symptoms of asthma].

Abstract

We present a case of allergic rhinitis in a 68-year-old woman in whom eosinophilia was found when she complained of common cold-like symptoms. The patient noticed a mass lesion on her left neck, which improved with antibiotic treatment, but her coughing continued and edema of both lower extremities appeared. She was admitted to our hospital, because of abnormalities in her electrocardiogram and cardiomegaly seen in a chest radiograph. The discomfort due to the edema in the soles of both feet remained even after steroid therapy. Her chest radiograph revealed ground-glass opacity, and a transbronchial lung biopsy revealed granulation tissue with the infiltration of eosinophils into the interstitium. Allergic granulomatosis angiitis was diagnosed because of granulomatosis vasculitis resulting from sural nerve biopsy. This was a rare case of allergic granulomatosis angiitis because her lung function was normal, she had no history of bronchial asthma, and there were no clear symptoms of bronchial asthma.

• Authors: Yoshitaka Morimatsu, Masaharu Kinoshita, Takeharu Koga, Hisamichi Aizawa
• Journal: Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society (Nihon Kokyuki Gakkai Zasshi) Vol. 41 Issue 9 Pg. 655-9 (Sep 2003) ISSN: 1343-3490 [Print] Japan
• PMID: 14531302 (Publication Type: Case Reports, Journal Article)

Topics

• Asthma
• Churg-Strauss Syndrome (diagnosis, diagnostic imaging, pathology)
• Female
• Humans
• Middle Aged
• Tomography, X-Ray Computed