頬部疼痛を契機に発見されたChurg-Strauss症候群の1例

  • 柳本 惣市
    長崎大学大学院医歯薬学総合研究科展開医療科学講座口腔腫瘍治療学分野
  • 河野 俊広
    長崎大学大学院医歯薬学総合研究科展開医療科学講座口腔腫瘍治療学分野
  • 六反田 賢
    長崎大学大学院医歯薬学総合研究科展開医療科学講座口腔腫瘍治療学分野
  • 宮腰 昌明
    長崎大学大学院医歯薬学総合研究科展開医療科学講座口腔腫瘍治療学分野
  • 鳴瀬 智史
    長崎大学大学院医歯薬学総合研究科展開医療科学講座口腔腫瘍治療学分野
  • 梅田 正博
    長崎大学大学院医歯薬学総合研究科展開医療科学講座口腔腫瘍治療学分野

書誌事項

タイトル別名
  • A case of Churg-Strauss syndrome diagnosed in association with cheek pain
  • 頰部疼痛を契機に発見されたChurg-Strauss症候群の1例
  • ホオブ トウツウ オ ケイキ ニ ハッケン サレタ Churg-Strauss ショウコウグン ノ 1レイ

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抄録

Churg-Strauss syndrome is a rare, systemic inflammatory disease characterized by pre-existing type-I allergic symptoms, such as bronchial asthma or allergic rhinitis, and necrotic and granulomatous vasculitis with eosinophilia. We describe our experience with a case of this disease associated with cheek pain.<br>A 64-year old man was referred to our hospital because of pain of the cheek and fever of unknown. He had a past history of chronic sinusitis. Computed fomography and magnetic resonance imaging showed bilateral multiple cystic lesions in the maxilla, and a postoperative maxillary cyst with infection was diagnosed initially.<br>The patient received antibiotic therapy, but the symptoms did not improve. Blood examinations revealed eosinophilia and an increased serum IgE level. Symptoms of mononeuritis multiplex of the arm and leg, renal disorder, and micro-cerebral hemorrhage developed sequentially, and Churg-Strauss syndrome was given diagnosed. He received prednisolone and high-dose gamma globulin therapy, and the symptoms improved.

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