Eosinophilic granulomatosis with polyangiitis and spinal subdural hematoma : a case report and review of the literature
Joint Authors
Shenavandeh, Saidah
Eazadnegahdar, Mahdi
Najafzadeh, Shiva
Zarei, Fariba
Nazarinia, Muhammad Ali
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 20, Issue 11 (30 Nov. 2018), pp.1-5, 5 p.
Publisher
Publication Date
2018-11-30
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Abstract EN
Introduction : Eosinophilic granulomatosis with polyangiitis (EGPA), formerly known as Churg-Strauss syndrome, is a rare systemic vasculitis.
Central nervous system (CNS) involvement is described in rare cases.
Acute spinal subdural hematoma (SSDH) is an uncommon condition presented with acute severe, radiating pain in the back area, and symptoms of spinal cord compression.
The association of these two rare entities has been rarely reported so far.
Case Presentation : A 32-year-old female known case of limited scleroderma for 12 years and EGPA for six years with the presentation of eosinophilia, high P-ANCA, and skin vasculitis was admitted to the rheumatology ward of Faghihi hospital related to Shiraz University of Medical Science in Iran (May 2016) due to new necrotizing vasculitis lesions on her hands, dyspnea, bilateral crackles, and eosinophilia.
During this hospital admission, while receiving methylprednisolone, low dose aspirin, and prophylactic heparin, she developed severe upper back pain and neck rigidity and in her imaging studies, thoracic spinal subdural hematoma was seen.
Conclusions : This article describes a case of EPGA presented with a non-traumatic acute subdural thoracic hematoma in addition to her classic symptoms along with limited scleroderma.
This suggests that non-traumatic spontaneous acute spinal subdural hematomas should be considered in manifestations of EPGA and early recognition could be helpful for appropriate management.
American Psychological Association (APA)
Shenavandeh, Saidah& Eazadnegahdar, Mahdi& Nazarinia, Muhammad Ali& Najafzadeh, Shiva& Zarei, Fariba. 2018. Eosinophilic granulomatosis with polyangiitis and spinal subdural hematoma : a case report and review of the literature. Iranian Red Crescent Medical Journal،Vol. 20, no. 11, pp.1-5.
https://search.emarefa.net/detail/BIM-898246
Modern Language Association (MLA)
Nazarinia, Muhammad Ali…[et al.]. Eosinophilic granulomatosis with polyangiitis and spinal subdural hematoma : a case report and review of the literature. Iranian Red Crescent Medical Journal Vol. 20, no. 11 (Nov. 2018), pp.1-5.
https://search.emarefa.net/detail/BIM-898246
American Medical Association (AMA)
Shenavandeh, Saidah& Eazadnegahdar, Mahdi& Nazarinia, Muhammad Ali& Najafzadeh, Shiva& Zarei, Fariba. Eosinophilic granulomatosis with polyangiitis and spinal subdural hematoma : a case report and review of the literature. Iranian Red Crescent Medical Journal. 2018. Vol. 20, no. 11, pp.1-5.
https://search.emarefa.net/detail/BIM-898246
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5
Record ID
BIM-898246