Vol.21 No.5

Case Report

Churg-Strauss syndrome complicated by central retinal artery occlusion: case report and a review of the literature

Authors

Kurumi Asako1 , Maki Takayama1 , Hajime Kono1 , Hirotoshi Kikuchi2

  • Department of Internal Medicine, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan
  • Department of Microbiology and Immunology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan
Received:

27 August 2010

Accepted:

20 January 2011

Published online:

9 February 2011

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Abstract

A 68-year-old man was admitted with rapid visual loss. Churg-Strauss syndrome (CSS) was diagnosed, based upon the symptoms of asthma, eosinophilia, interstitial pneumonitis, and positive myeloperoxidase-anti neutrophil cytoplasmic antibody (MPO-ANCA). Light reflexes were absent and vision was completely lost in both eyes. Bilateral central retinal artery occlusion (CRAO) was observed by fluorescence angiography. Steroid pulse along with an anticoagulant improved the visual acuity to light perception and hand motion. CSS-associated CRAO should be considered when acute visual loss occurs.

Key words

Central retinal artery occlusion - Churg?Strauss syndrome - MPO-ANCA - Steroid pulse - Visual loss