Churg and Strauss established the clinicopathologic features of
allergic angiitis and granulomatosis. The condition is rare and is characterized by involvement of vessels of all sizes(including
veins and
venules), especially the pulmonary vessel. intra- and extravascular
granuloma formation,
eosinophil infiltration of
tissue and an
association with
asthma and peripheral
eosinophilia.
Churg Strauss syndrome (CSS) involves the
GI tract, the
skin, the
heart, the
lungs etc. We
report a case of CSS in 38 year old
male patient,
who presented acute
peritonitis and
who had had 4-year
history of
bronchial asthma. An
emergency laparotomy revealed multiple impending perforations in
small intestine. A
skin lesion and neuropathy developed postoperatively. Microscopic exammination of the
appendix and the
skin lesion showed thrombs in the lumens of vessels,
vasculitis and eosinophilic infiltration to the lesion and the vessel wall.