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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: Monatsschrift Kinderheilkunde, Bd. 167, Nr. 3: S. 234-240

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Abstract

We describe a15-year-old girl with eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome, CSS). Under steroid treatment there was arapid 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 ahigh 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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