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[Mastitis revealing Churg-Strauss syndrome]
C Dannepond1, E Le Fourn1, A de Muret2
1Service de dermatologie, hôpital Trousseau, CHU de Tours, avenue de la République, 37170 Chambray-lès-Tours, France.
Annales De Dermatologie Et De Venereologie
|January 28, 2014
Summary
Churg-Strauss syndrome, a rare condition, can manifest in the breast, potentially revealing the disease. Early diagnosis and treatment with oral prednisolone led to rapid symptom resolution.
Area of Science:
- Rheumatology
- Dermatology
- Pathology
Background:
- Churg-Strauss syndrome (CSS) is a rare systemic vasculitis.
- Cutaneous manifestations are common in CSS and can be an early indicator.
- Breast involvement in CSS is exceptionally rare.
Observation:
- A 25-year-old woman presented with breast inflammation and discharge.
- Cytology revealed eosinophils and neutrophils; ultrasound suggested galactophoritis.
- Skin biopsy showed eosinophilic infiltrate, necrosis, vasculitis, and granuloma.
Findings:
- The patient exhibited asthma, pulmonary infiltrates, and neuropathy, confirming CSS.
- Breast inflammation and skin lesions (thumbs, knees) were key diagnostic features.
- This case represents the first instance where breast involvement revealed CSS.
Implications:
- Highlights the potential for unusual presentations of Churg-Strauss syndrome.
- Emphasizes the importance of considering CSS in patients with unexplained breast and skin inflammation.
- Prompt treatment with corticosteroids (prednisolone) effectively resolved symptoms.
Keywords:
Churg-StraussMaladie de Churg et StraussMastiteMastitisSyndrome de WellsVasculariteVasculitisWells’ syndromeMore Related Videos
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