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Thurm, T.; Giehl, K.; Flaig, M.; Reiter, K. und Hoffmann, F. (2019): Seltene Ursache einer Hämoptyse. Fünfzehnjährige Patientin mit eosinophiler Granulomatose mit Polyangiitis. In: Pneumologe, Bd. 16, Nr. 6: S. 385-390

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Abstract

We describe a 15-year-old girl with eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome, CSS). Under steroid treatment there was a rapid regression of hemoptysis. Termination of steroid therapy could not be achieved after a 7-month follow-up. Previously, the girl had suffered for a long time from therapy refractive bronchial asthma, which in CSS is typically associated with blood eosinophilia. A cardiac or neurological manifestation is particularly dangerous with a high rate of mortality in the generalization phase. Systemic steroid therapy, if necessary with immunosuppressive agents, has become established as an effective therapeutic option.

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