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Old 09-14-2011
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Question Asthma with purpura & skin nodules

A 25 male with a 5 year history of asthma presented to ER with weakness in his Rt foot, skin purpura and painful skin nodules, the chest X ray showed several peripheral nodules, what is the most likely diagnosis?
1. Leoffler's syndrome
2. Churg-Strauss syndrome
3. Idiopathic Hypereosinophilic Syndrome
4. Bronchopulmonary aspergillosis.
5. chronic eosinophilic pneumonia
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Old 09-14-2011
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I would say 2, Churg Strauss, but I'm not sure.
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Old 09-14-2011
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2. Churg-strauss-allergic granulomatosis
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Old 09-14-2011
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The correct anwer as you said is Churg-Strauss syndrome
PAN symptomd (feature of vasculitis),
eosinophilia, with lung involvemnet known as Churg-Strauss syndrome
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Old 09-15-2011
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treat with prednisone and cyclophosphamide
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