一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集

Abstract

Full Text of PDF Full Text of PDF (386k)  required ID / password
Article in Japanese

Case Report

A case of eosinophilic granulomatosis with polyangiitis with subarachnoid hemorrhage as the first manifestation

Yui Narasakia  Yusuke Takayamab  Erika Kobayashic  Takashi Nakamurad  Ken Masudab  Hiroyasu Shodab 

aDepartment of Internal Medicine, Hiroshima City Medical Association-administered Hiroshima City Aki Hospital
bDepartment of Respiratory Medicine, Hiroshima City Hiroshima Citizens Hospital
cDepartment of Respiratory Medicine, Miyoshi Central Hospital
dDepartment of Respiratory Medicine, JA Hiroshima General Hospital

ABSTRACT

A 57-year-old man, who had a long history of asthma, and had been treated with prednisolone (PSL) for chronic eosinophilic pneumonia for 3 years, was admitted to our hospital because of severe headache and disturbance of consciousness. He was diagnosed with subarachnoid hemorrhage (SAH), and then treated with coil embolization. However, 3 months after SAH onset, he noticed purpura on the lower legs and numbness in the extremities. At the same time, peripheral blood eosinophilia progressed gradually. Six months after SAH onset, he was diagnosed with eosinophilic granulomatosis with polyangiitis (EGPA). It is necessary to pay careful attention to SAH as a first clinical manifestation of EGPA.

KEYWORDS

Eosinophilic granulomatosis with polyangiitis (EGPA)  Subarachnoid hemorrhage (SAH)  Cerebral aneurysm  Peripheral blood eosinophilia 

Received 28 Feb 2020 / Accepted 23 Apr 2020

AJRS, 9(4): 294-298, 2020

Google Scholar