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Portal Venous Thrombosis: Eosinophilic Vasculitis
Vasanthi Natarajan1, David Jose2, Kevin John3
1Assistant Professor, Department of Internal Medicine/Endocrinology, Pondicherry Institute of Medical Sciences, Puducherry, India.
Journal of Clinical and Diagnostic Research : JCDR
|May 18, 2017
Summary
Churg-Strauss Syndrome, a rare vasculitis, can cause portal vein thrombosis. This case highlights successful management of eosinophilic ascites and venous thrombosis with steroids and anticoagulants.
Area of Science:
- Internal Medicine
- Gastroenterology
- Rheumatology
Background:
- Portal Vein Thrombosis (PVT) is often linked to thrombophilic conditions.
- PVT as a manifestation of vasculitis, particularly Churg-Strauss Syndrome (CSS), is exceptionally rare.
Observation:
- A patient presented with peripheral eosinophilia, eosinophilic ascites, and venous thrombosis affecting the portal and superior mesenteric veins.
- Diagnosis was established as Churg-Strauss Syndrome.
Findings:
- Treatment involved corticosteroids and anticoagulants.
- Steroid initiation led to significant improvement in eosinophilia and eosinophilic ascites.
Implications:
- This case underscores the importance of considering CSS in patients with unexplained PVT and eosinophilia.
- Early diagnosis and management with steroids can effectively control CSS-related complications like PVT and ascites.
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