Abstract
We report one patient of Churg-Strauss syndrome who was diagnosed during follow-up for an episode of eosinophilic sinusitis. A 67-year-old man came to our hospital with complaints of chronic cough and postnasal discharge. We tried conservative therapy, however, the symptoms did not improve. Therefore, we performed endoscopic endonasal sinus surgery, which produced symptomatic improvement, nonetheless, the symptoms relapsed 1 month later. Therefore, we diagnosed the patient as a case of eosinophilic sinusitis. One year later, the patient presented with sudden loss of vision and numbress of the back. Based on the neurological and hematological findings, we made the diagnosis of Churg-Strauss syndrome and initiated the patient on steroid pulse therapy. This treatment was followed by marked improvement of the sinusitis.
In recent years, the concept of including Churg-Strauss syndrome as a cause of eosinophilic sinusitis has been proposed. It is thought that close examination should be conducted in any patient of eosinophilic sinusitis who develops symptoms of angiitis during follow-up.
