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Exophthalmos and facial swelling: a case of limited Churg-Strauss syndrome

  • N. A. Khan (a1), P. K. Shenoy (a1), L. McClymont (a1) and T. J. Palmer (a1)

Abstract

We report a case of vasculitis causing facial swelling and exophthalmos which on clinical and histological grounds is thought to be limited Churg-Strauss syndrome. An excellent response was achieved to high doses of systemic steroids and cyclophosphamide.

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Corresponding author

Address for correspondence: Mr Najib A. Khan, D.O.M.S., F.R.C.S., 5 Old Mill Lane, Inverness IV2 3XP.

References

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Churg, J., Strauss, L. (1951) Allergic granulomatosis, allergic angiitis and periarteritis nodosa. American Journal of Pathology 27: 277301.
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Faulds, J. S., Wear, A. R. (1960) Pseudotumours of the orbit and Wegener's granuloma. Lancet 29: 955957.
Hope-Robertson, W. J. (1956) Pseudo-turnout oi the oibit as a presenting sign in periarteritis nodosa. Transactions of the Ophthalmology Society of New Zealand 8: 5666.
Lantham, J. G., Elkon, E. B., Pusey, C. D., Hughes, G. R. V. (1984) Systemic vasculitis with asthma and eosinophilia: A clinical approach to Churg-Strauss syndrome. Medicine (Baltimore) 63: 6581.
Lie, J. T. (1993) Limited forms of Churg-Strauss Syndrome. Pathology Annals 2: 199200.
Walton, E. W. (1959) Pseudo-tumour of the orbit and polyarteritis nodosa. Journal of Clinical Pathology 12: 419426.

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