Ascites as the Presenting Symptom in a Patient with Churg-Strauss Syndrome
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Aaltje Y. Adema1, Annemarie M. Schilder2, Tim C.M.A. Schreuder1, Karin Grünberg3, Irine E.M. Bultink2, Chris J.J. Mulder1
1) Department of Gastroenterology and Hepatology;
2) Department of Rheumatology;
3) Department of Pathology, VU University Medical Centre, Amsterdam, The Netherlands
Abstract
A 67-year-old male presented with ascites, dyspnoea, peripheral edema and purpura. The history revealed asthma and nasal polyps. The laboratory tests showed an increased peripheral blood eosinophilic cell count. The ascitic fluid analysis showed features consistent with an eosinophilic peritonitis. A skin biopsy revealed eosinophilic vasculitis. Our patient was diagnosed with Churg-Strauss syndrome based on the medical history, laboratory and histology. This case describes ascites as the presenting symptom of Churg-Strauss syndrome.
Key words
Churg-Strauss syndrome - ascites - purpura - vasculitis - eosinophilic peritonitis.
