Churg-Strauss angiitis. Arguments favoring the responsibility of inhaled antigens.

Guillevin, L; Amouroux, J; Arbeille, B; Boura, R · Chest · 1991

case_report · Level V

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Abstract

A 27-year-old man presented with relapsing vascular limb purpura, pulmonary infiltrates and cranial nerve palsies occurring after exposure to pigeons. A lung biopsy specimen showed Churg-Strauss angiitis. Actinomycetes were observed in pneumocytes. The circumstances preceding clinical manifestations and pathologic findings favored the diagnosis of pulmonary vasculitis as a consequence of inhaled antigen. Recovery was obtained after treatment with prednisone, cyclophosphamide, and plasma exchanges.

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