Churg- Strauss syndrome without bronchial asthma complicated with lower gastrointestinal bleeding

We describe a 25-year old male with Churg Strauss syndrome [CSS] without bronchial asthma His lung biopsy findings showed pulmonary eosinophilia and no evidence of vasculitis. The course of his disease was complicated by severe lower gastrointestinal bleeding. The control of his disease needed the addition of cyclophosphamide to the steroid therapy