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ALL / Respiratory Medicine
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)
Eosinophilic granulomatosis with polyangiitis (EGPA) is now the preferred term for Churg-Strauss syndrome. It is an ANCA associated small-medium vessel vasculitis.Features
- asthma
- blood eosinophilia (e.g. > 10%)
- paranasal sinusitis
- mononeuritis multiplex
- renal involvement occurs in around 20%
- pANCA positive in 60%

Comparison of granulomatosis with polyangiitis and Churg-Strauss syndrome
Leukotriene receptor antagonists may precipitate the disease.
+PassMedicine Notes
Eosinophilic granulomatosis with polyangiitis (EGPA) is now the preferred term for Churg-Strauss syndrome. It is an ANCA associated small-medium vessel vasculitis.
Features- asthma
- blood eosinophilia (e.g. > 10%)
- paranasal sinusitis
- mononeuritis multiplex
- renal involvement occurs in around 20%
- pANCA positive in 60%
Leukotriene receptor antagonists may precipitate the disease.
