2012 年 58 巻 11 号 p. 665-669
Churg-Strauss syndrome is a rare syndrom characterized by inflammation associated with bronchial asthma, eosinophilia, and necrotizing angitis involving multiple organs. The estimated number of patients reported by the Ministry of Health, Labour and Welfare research group was 450. We report a case of Churg-Strauss syndrome associated with an ulcer of the buccal mucosa.
A 79-year-old woman presented with an ulcer of the right buccal mucosa. Laboratory tests revealed, inflammatory eosinophilia. We noted ulceration of the right buccal mucosa, which showed acidocyte invasion on biopsy. The patient was admitted to the emergency room because of the difficulty in oral intake. She underwent a systemic examination and was given prednisolone (30 mg per day) from the 14th day of Churg-Straus syndrome. Esoinophilia and inflammation subsided on the 18th day, and the patient was discharged after 31 days. She now comes to the hospital routinely.