E-ISSN 2534-9821
 

Case Report 


Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report

Oadi N. Shrateh, Areej Yaseen, Mashhour Naasan, Khalil Karim, Mohand Abulihya.

Abstract
Introduction. Eosinophilic granulomatosis with polyangiitis (EGPA), also known as
Churg Strauss syndrome (CCS) is an extremely rare diagnosis, and much less frequently in the childbearing period, particularly in association with pregnancy. This is thought to be due to several considerations including the paucity of the condition, with the mean age of diagnosis approximately 40s-50s and male gender tendency. The ambiguity and diversity of clinical manifestations result in delayed diagnosis, aggressive course and a high mortality rate.
Case report. We report a case of a 28-year-old Palestinian woman primigravida at 23 weeks gestation who was admitted to the hospital due to acute asthma exacerbation symptoms in association with markedly elevated eosinophilic count and rash. Diagnosis of Churg Strauss syndrome was established as the first reported case of the condition in Palestine and steroidal medication was initiated with unremarkable responsiveness to the regimen. The pregnancy was complicated with intrauterine fetal growth restriction (IUGR) which is terminated by Cesarean delivery of a healthy baby at 32.
Conclusion. There is no obvious mechanism by which this type of vasculitis affects the pregnancy and vice versa, it’s evident that the risk of obstetric complications for instance intrauterine fetal demise, miscarriage, premature rupture of membrane, and intrauterine fetal growth restriction (IUGR) - as in this case- is significantly escalated during the disease. This case also suggests that the disease process can be accelerated by the pregnancy.

Key words: eosinophilic granulomatosis with polyangiitis, Churg-Strauss syndrome, pregnancy, intrauterine fetal growth restriction


 
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How to Cite this Article
Pubmed Style

Shrateh ON, Yaseen A, Naasan M, Karim K, Abulihya M. Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report. Int J Med Rev Case Rep. 2022; 6(6): 51-54. doi:10.5455/IJMRCR.172-1648151036


Web Style

Shrateh ON, Yaseen A, Naasan M, Karim K, Abulihya M. Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report. https://www.mdpub.net/?mno=105514 [Access: January 14, 2023]. doi:10.5455/IJMRCR.172-1648151036


AMA (American Medical Association) Style

Shrateh ON, Yaseen A, Naasan M, Karim K, Abulihya M. Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report. Int J Med Rev Case Rep. 2022; 6(6): 51-54. doi:10.5455/IJMRCR.172-1648151036



Vancouver/ICMJE Style

Shrateh ON, Yaseen A, Naasan M, Karim K, Abulihya M. Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report. Int J Med Rev Case Rep. (2022), [cited January 14, 2023]; 6(6): 51-54. doi:10.5455/IJMRCR.172-1648151036



Harvard Style

Shrateh, O. N., Yaseen, . A., Naasan, . M., Karim, . K. & Abulihya, . M. (2022) Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report. Int J Med Rev Case Rep, 6 (6), 51-54. doi:10.5455/IJMRCR.172-1648151036



Turabian Style

Shrateh, Oadi N., Areej Yaseen, Mashhour Naasan, Khalil Karim, and Mohand Abulihya. 2022. Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report. International Journal of Medical Reviews and Case Reports, 6 (6), 51-54. doi:10.5455/IJMRCR.172-1648151036



Chicago Style

Shrateh, Oadi N., Areej Yaseen, Mashhour Naasan, Khalil Karim, and Mohand Abulihya. "Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report." International Journal of Medical Reviews and Case Reports 6 (2022), 51-54. doi:10.5455/IJMRCR.172-1648151036



MLA (The Modern Language Association) Style

Shrateh, Oadi N., Areej Yaseen, Mashhour Naasan, Khalil Karim, and Mohand Abulihya. "Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report." International Journal of Medical Reviews and Case Reports 6.6 (2022), 51-54. Print. doi:10.5455/IJMRCR.172-1648151036



APA (American Psychological Association) Style

Shrateh, O. N., Yaseen, . A., Naasan, . M., Karim, . K. & Abulihya, . M. (2022) Diagnosis of Churg-Strauss Syndrome at 23 Weeks Gestation: a case report. International Journal of Medical Reviews and Case Reports, 6 (6), 51-54. doi:10.5455/IJMRCR.172-1648151036