Vol.20 No.2

Case Report

A case of eosinophilic orbital myositis associated with CSS

Authors

Tomoko Fujii1 , Masataro Norizuki1 , Tatsuo Kobayashi1 , Makiko Yamamoto1 , Mitsumasa Kishimoto2

  • Department of Rheumatology, Kameda Medical Center, 929 Higashi-cho, Kamogawa Chiba, 296-8602, Japan
  • Section of Allergy and Rheumatology, St. Luke’s International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan
Received:

23 June 2009

Accepted:

26 October 2009

Published online:

25 November 2009

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Abstract

We report a novel case of eosinophilic orbital myositis associated with Churg-Strauss syndrome. A 56-year-old man with a 20-year history of chronic sinusitis and seasonal allergic rhinitis was admitted because of fever, swelling of cheeks and extremities, diplopia, and eosinophilia. With findings from gadolinium-enhanced FST1WI of the orbits and a muscle biopsy of the skeletal muscle, the diagnosis was made. He was treated with oral corticosteroid, and his symptoms rapidly improved.

Key words

Eosinophilic myositis - Orbital myositis - Churg-Strauss syndrome - Eosinophilia