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VOLUME 57 , ISSUE 2 ( April-June, 2015 ) > List of Articles

CASE REPORT

Eosinophilic Granulomatosis with Polyangitis Presenting as Cardiac Tamponade

Sushil Kathar, Zarir F. Udwadia

Keywords : EGPA, Pericardial tamponade

Citation Information : Kathar S, Udwadia ZF. Eosinophilic Granulomatosis with Polyangitis Presenting as Cardiac Tamponade. Indian J Chest Dis Allied Sci 2015; 57 (2):121-123.

DOI: 10.5005/ijcdas-57-2-121

License: CC BY-NC 4.0

Published Online: 17-11-2022

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Eosinophilic granulomatosis with polyangitis (EGPA; earlier called Churg-Strauss syndrome) is a small-vessel necrotising vasculitis typically characterised by asthma, lung infiltrates, extra-vascular necrotising granulomas and hyper-eosinophilia. Cardiac disease is a major contributor to disease-related deaths in EGPA. We describe the case of a 39-year-old woman with late onset asthma, allergic rhinosinusitis, and high extra-vascular and peripheral blood eosinophilia, presenting with peripheral neuropathy and pericardial effusion. Early therapy with intravenous corticosteroids led to resolution of the pericardial effusion and significant clinical improvement. The present case also highlights the importance of being vigilant about potentially fatal cardiac complications in patients with EGPA.


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