Ｃｈｕｒｇ‐Ｓｔｒａｕｓｓ症候群に合併した好酸球性中耳炎例

• 岩塚 和子

  耳鼻咽喉科・気管食道科 岩塚クリニック

書誌事項

タイトル別名

• A Patient with Churg-Strauss Syndrome Including Eosinophilic Otitis Media
• リンショウ Churg Strauss ショウコウグン ニ ガッペイ シタ コウサンキュウセイ チュウジエンレイ

抄録

A 31-year old woman with Churg-Strauss Syndrome (CSS) including eosinophilic otitis media is presented. Other manifestations included an 11-year history of nasal allergy followed by bronchial asthma, sinusitis with nasal polyps, eosinophilic pneumonia accompanied by peripheral eosinophilia (34% of 6, 600/μl leukocytes), and erythema in both legs. Repeated episodes of painless right otitis media occurred without fever during the first stage of CSS characterized by an allergic state. This progressed to bilateral otitis media with gelatinous mucoid fluid accumulations shortly before the second stage of CSS characterized additionally by peripheral eosinophilia and eosinophilic pneumonia. Numerous eosinophils were found in gelatinous fluid within the tympanic cavity.<br>The patient was diagnosed with bilateral eosinophilic otitis media, which was controlled by nebulizer therapy with 2% fosfomycin and 0.2% betamethasone solution directed into the Eustachian tube and tympanic cavity. Hearing loss and vertigo have been avoided. This case strongly suggests that eosinophilic otitis media can be a manifestation of CSS.

収録刊行物

• 耳鼻咽喉科臨床

  耳鼻咽喉科臨床 98 (6), 447-452, 2005

  耳鼻咽喉科臨床学会

キーワード

• Churg-Strauss syndrome
• eosinophilic otitis media
• nebulizer therapy
• eustachian tube
• tympanic cavity

詳細情報

• CRID: 1390282679241116032
• NII論文ID: 10015649421
• NII書誌ID: AN00107089
• DOI: 10.5631/jibirin.98.447
• ISSN: 18844545
• ISSN: 00326313
• ISSN: http://id.crossref.org/issn/00326313
• NDL書誌ID: 7375704
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I7375704
• Web Site: https://search.jamas.or.jp/link/ui/2005261906
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可