A case of Churg-Strauss syndrome with refractory otitis media.

Auris Nasus Larynx. 2008 Mar 31;

Authors: Saka N, Seo T, Shimano K, Kashiba K, Mori T, Sakagami M

OBJECTIVE: Churg-Strauss syndrome (CSS) is known as autoimmune vasculitis with peripheral eosinophilia after bronchial asthma and rarely has otological findings. We present a case of CSS with refractory otitis media and discuss the relationship between otological symptoms of CSS and eosinophilic otitis media. CASE REPORT: A 60-year-old woman had suffered from recurrent sinusitis for 8 years, and also otitis media with effusion for 4 months. Eruption with peripheral eosinophilia was found in the lower legs; therefore, she was diagnosed with CSS. She was treated with systemic administration of predonisolone, intratympanic injection of betamethasone, and betamethasone nasal spray; thereafter, eosinophilia, otitis media and sinusitis rapidly improved. CONCLUSION: The features of eosinophilic otitis media are similar to the otological symptoms of CSS. It should be considered whether patients with eosinophilic otitis media have early phase CSS.

PMID: 18384991 [PubMed - as supplied by publisher]