Churg-Strauss


  • Granulomatous small vessel vasculitis affecting mainly blood vessels of lungs ( severe asthma, allergic rhinitis), GI tract, and peripheral nerves, ± skin and heart
  • Skin findings include palpable purpura, subcutaneous nodules, livedo reticularis, and urticaria
  • Labs: ↑ IgE, p-ANCA (anti-myeloperoxidase {MPO})
  • Treatment: oral corticosteroids ± cytotoxic agents
   
 
ANCA (anti-neutrophil cytoplasmic antibodies): autoantibodies against various lysosomal enzymes
 
   
Figure 3.43 Wegener’s granulomatosis (Reprint from Burgdorf WH, Plewig G, Landthaler M, Wolff HH, eds. Braun-Falco’s Dermatology. 3rd ed. Heidelberg: Springer; 2009)
Figure 3.43
Wegener’s granulomatosis
(Reprint from Burgdorf WH,
Plewig G, Landthaler M,
Wolff HH, eds. Braun-Falco’s
Dermatology. 3rd ed.
Heidelberg: Springer; 2009
)