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CASE REPORT
Concurrent occurrence of allergic granulomatous angiitis and temporal arteritis: a case report and review of the literature

Makiho Sekiuchi1, Kimimasa Nakabayashi1 , Tomohumi Marumo1, Yoshihiro Arimura1, Toshihiko Nagasawa1, Akira Yamada1 and Yasunori Fujioka2

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(1) First Department of Internal Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka 181-8611, Japan
(2) Department of Pathology, Kyorin University School of Medicine, Mitaka, Japan

Received: 01 September 2004 Accepted: 03 December 2004

Abstract Allergic granulomatous angiitis (AGA) is a disease entity that was first distinguished from classical polyarteritis nodosa by Churg and Strauss in 1951, and is characterized by the clinical features of allergic rhinitis or bronchial asthma, eosinophilia, and vasculitis. Allergic granulomatous angiitis has been described to mainly involve small vessels. We herein describe a case of Churg Strauss syndrome which demonstrated the clinical and laboratory findings supporting a diagnosis of AGA and was also associated with the clinical and pathological findings for temporal arteritis, which was characterized by eosinophil infiltration and granuloma formation of the temporal artery (middle-sized vessel).

Key words Allergic granulomatous angiitis (AGA) - Churg Strauss syndrome - Juvenile temporal arteritis with hyper-eosinophilia - Temporal arteritis

 

 

 

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