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Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
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[A case of Churg-Strauss syndrome discovered with hematemesis]

Keisuke Okudaira1, Atsushi Kawaguchi, Ryota Hokari

  • 1Second Department of Internal Medicine, National Defense Medical College.

Nihon Shokakibyo Gakkai Zasshi = the Japanese Journal of Gastro-Enterology
|December 7, 2006
PubMed

A 68-years-old Japanese woman was hospitalized emergently because of hemorrhagic gastric ulcer. For the hospitalization period, elevated levels of white blood cell count, eosinophilic leucocyte count, serum IgE and positive MPO-ANCA were recognized. With considering clinical course and these laboratory findings, we diagnosed Churg-Strauss syndrome (CSS). Steroid therapy in combination with cyclophosphamide was effective. CSS is a rare disease, but we should discriminate this disease when we encounter gastrointestinal bleeding of unknown etiology, especially PPI-resistant gastric ulcer.

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