Turkish Journal of Physical Medicine and Rehabilitation 2006 , Vol 52 , Num 3

Churg-Strauss Syndrome with Fulminant Neuropathy Mimicking Guillain-Barre Syndrome: A Case Report

Cengiz Bahadır 1 ,Duygu Kurtuluş 2 ,Bünyamin Öztürk 3 ,Göksel Somay 4 ,Dilek K. Benek 5
1 Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul
2 Haydarpasa Numune Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Istanbul, Turkey
3 Haydarpaşa Numune Eğitim ve Araştırma Hastanes, Fizik Tedavi ve Rehabilitasyon Kliniği, İstanbul
4 Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, İstanbul
5 Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Patoloji Bölümü, İstanbul

Churg-Strauss syndrome (CSS) occurs usually in subjects who have asthma and allergic complaints. It is characterized with pulmonary or systemic vasculitis, extravascular granulomes and eosinophilia. It sometimes causes fulminant peripheral neuropathy. Although Guillain-Barre syndrome (GBS) usually causes demyelinating neuropathy, it seldom follows an atypical course presenting with axonal loss. In this report, a case with CSS previously diagnosed with GBS due to acute fulminant neuropathy is discussed in the light of relevant literature. 

Keywords : Churg-Strauss syndrome, Guillain-Barre syndrome, perip-heral neuropathy