Development of Churg‑Strauss syndrome with severe multiple mononeuropathy after leukotriene receptor antagonist treatment in one of the monozygotic twins with asthma

Autor: Grzegorz Haberek, Bożena Targońska-Stępniak, Maria Majdan, Ewa Papuć, Kinga Wnukowska
Rok vydání: 2009
Předmět:
Zdroj: Scopus-Elsevier
ISSN: 1897-9483
DOI: 10.20452/pamw.835
Popis: Several cases of Churg-Strauss syndrome (CSS) have been reported in asthmatic patients treated with leukotriene receptor antagonists (LTRAs). It is not clear whether LTRA is a causative factor in the development of vasculitis. We present the case of a 26-year-old patient, who developed severe central and peripheral neuropathy after a short-term treatment with LTRA, followed by gastrointestinal perforation and bleeding. The patient was successfully treated with high-dose glucocorticoids, immunoglobulins, and cyclophosphamide. His monozygotic twin brother treated for asthma does not meet classification criteria for Churg-Strauss syndrome at the moment, but his condition is being monitored. Both asthma and rheumatology specialists should consider the possibility of CSS development in patients treated with LTRAs.
Databáze: OpenAIRE