Cargando…

The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis

We present a case of eosinophilic granulomatosis with polyangiitis (EGPA) or Churg-Strauss syndrome in a 66-year Caucasian female who presented with a severe pruritic itch and a progressive upper and lower extremity weakness of unknown duration. The diagnosis of EGPA in this patient remained elusive...

Descripción completa

Detalles Bibliográficos
Autores principales: Ibrahim, Mohd Elmugtaba, Deonarine, Anand, Gore, Payton A, Lewis, Harvey R, Alvarado, Eduardo C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769733/
https://www.ncbi.nlm.nih.gov/pubmed/33391913
http://dx.doi.org/10.7759/cureus.11676
_version_ 1783629390521827328
author Ibrahim, Mohd Elmugtaba
Deonarine, Anand
Gore, Payton A
Lewis, Harvey R
Alvarado, Eduardo C
author_facet Ibrahim, Mohd Elmugtaba
Deonarine, Anand
Gore, Payton A
Lewis, Harvey R
Alvarado, Eduardo C
author_sort Ibrahim, Mohd Elmugtaba
collection PubMed
description We present a case of eosinophilic granulomatosis with polyangiitis (EGPA) or Churg-Strauss syndrome in a 66-year Caucasian female who presented with a severe pruritic itch and a progressive upper and lower extremity weakness of unknown duration. The diagnosis of EGPA in this patient remained elusive for an extended period of time due to the absence of respiratory symptoms. In this article, we also discuss the histologic features of EGPA seen in biopsies of the kidney and the nerves and highlight the value they play in diagnosis.
format Online
Article
Text
id pubmed-7769733
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-77697332020-12-31 The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis Ibrahim, Mohd Elmugtaba Deonarine, Anand Gore, Payton A Lewis, Harvey R Alvarado, Eduardo C Cureus Pathology We present a case of eosinophilic granulomatosis with polyangiitis (EGPA) or Churg-Strauss syndrome in a 66-year Caucasian female who presented with a severe pruritic itch and a progressive upper and lower extremity weakness of unknown duration. The diagnosis of EGPA in this patient remained elusive for an extended period of time due to the absence of respiratory symptoms. In this article, we also discuss the histologic features of EGPA seen in biopsies of the kidney and the nerves and highlight the value they play in diagnosis. Cureus 2020-11-24 /pmc/articles/PMC7769733/ /pubmed/33391913 http://dx.doi.org/10.7759/cureus.11676 Text en Copyright © 2020, Ibrahim et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pathology
Ibrahim, Mohd Elmugtaba
Deonarine, Anand
Gore, Payton A
Lewis, Harvey R
Alvarado, Eduardo C
The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis
title The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis
title_full The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis
title_fullStr The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis
title_full_unstemmed The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis
title_short The Rash, the Weakness, and the Nephritis: Nerve and Kidney Biopsy Findings in Eosinophilic Granulomatosis With Polyangiitis
title_sort rash, the weakness, and the nephritis: nerve and kidney biopsy findings in eosinophilic granulomatosis with polyangiitis
topic Pathology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769733/
https://www.ncbi.nlm.nih.gov/pubmed/33391913
http://dx.doi.org/10.7759/cureus.11676
work_keys_str_mv AT ibrahimmohdelmugtaba therashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT deonarineanand therashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT gorepaytona therashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT lewisharveyr therashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT alvaradoeduardoc therashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT ibrahimmohdelmugtaba rashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT deonarineanand rashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT gorepaytona rashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT lewisharveyr rashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis
AT alvaradoeduardoc rashtheweaknessandthenephritisnerveandkidneybiopsyfindingsineosinophilicgranulomatosiswithpolyangiitis