학술논문

A case of Churg-Strauss syndrome in which an ulcers of the buccal mucosa led to diagnosis / 頰粘膜潰瘍を契機に診断されたChurg-Strauss症候群の1例
Document Type
Journal Article
Source
日本口腔外科学会雑誌 / Japanese Journal of Oral and Maxillofacial Surgery. 2012, 58(11):665
Subject
Churg-Starauss syndrome
Churg-Strauss 症候群
bronchial asthma
eosinophilia
necrotizing vasculitis
ulcer of the buccal mucosa
壊死性血管
好酸球増加
気管支喘息
頬粘膜潰瘍
Language
Japanese
ISSN
0021-5163
2186-1579
Abstract
Churg-Strauss syndrome is a rare syndrom characterized by inflammation associated with bronchial asthma, eosinophilia, and necrotizing angitis involving multiple organs. The estimated number of patients reported by the Ministry of Health, Labour and Welfare research group was 450. We report a case of Churg-Strauss syndrome associated with an ulcer of the buccal mucosa.A 79-year-old woman presented with an ulcer of the right buccal mucosa. Laboratory tests revealed, inflammatory eosinophilia. We noted ulceration of the right buccal mucosa, which showed acidocyte invasion on biopsy. The patient was admitted to the emergency room because of the difficulty in oral intake. She underwent a systemic examination and was given prednisolone (30 mg per day) from the 14th day of Churg-Straus syndrome. Esoinophilia and inflammation subsided on the 18th day, and the patient was discharged after 31 days. She now comes to the hospital routinely.