Acute cardiac failure in a young atopic patient

Churg-Strauss syndrome is a granulomatous smallvessel vasculitis in which multiple organ systems can be involved. It is often diagnosed late and physicians need to be vigilant and keep this uncommon diagnosis in mind. The appearance of visible cutaneous features is often the key to diagnosis and skin biopsy is confirmatory. Early recognition and aggressive therapy is required to prevent end-organ complications and mortality.