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A patient with Churg-Strauss syndrome who underwent endoscopic sinus surgery under general anesthesia -A case report-

Hyo Sang Im1, Kwang-Rae Cho, Chee-Mahn Shin

  • 1Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.

Korean Journal of Anesthesiology
|July 24, 2010
PubMed

Insights

Cholinesterase deficiency has many causes. This report details a rare case of Churg-Strauss syndrome (CSS), a type of vasculitis, in a patient undergoing endoscopic sinus surgery.

Area of Science:

  • Medicine
  • Rheumatology
  • Otolaryngology

Background:

  • Cholinesterase deficiency can stem from various conditions, including drugs, liver disease, and anemia.
  • Vasculitis syndromes are uncommon, with Churg-Strauss syndrome (CSS) being particularly rare.
  • CSS is an eosinophilic granulomatous vasculitis affecting small to medium-sized vessels.

Purpose of the Study:

  • To report a rare case of Churg-Strauss syndrome (CSS).
  • To describe the management of a CSS patient undergoing endoscopic sinus surgery.
  • To highlight the importance of considering rare systemic diseases in surgical patients.

Main Methods:

  • Case report.
  • Review of patient's medical history and surgical procedure.
  • Literature review on CSS and cholinesterase deficiency.

Main Results:

  • A patient with Churg-Strauss syndrome (CSS) successfully underwent endoscopic sinus surgery.
  • The patient's cholinesterase deficiency was noted in the context of CSS.
  • No intraoperative or postoperative complications related to CSS were reported.

Conclusions:

  • Churg-Strauss syndrome (CSS) is a rare condition that can present with cholinesterase deficiency.
  • Endoscopic sinus surgery can be safely performed in patients with CSS.
  • Multidisciplinary management is crucial for patients with rare systemic vasculitides undergoing surgery.

Keywords:
Cholinesterase deficiencyChurg-Strauss syndromeVasculitis syndrome

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