Churg-Strauss syndrome


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Causes

By Mayo Clinic staff

The exact cause of Churg-Strauss syndrome is unknown. It's likely that an overactive immune system response is triggered by a combination of genes and an environmental trigger, such as allergens or certain medications. Instead of simply protecting against invading organisms such as bacteria and viruses, the immune system overreacts and targets healthy tissue, causing widespread inflammation.

Some people have developed Churg-Strauss syndrome after using an asthma and allergy medication called montelukast or after switching from low-dose oral systemic steroids to inhaled steroid medications. However, no clear connection between Churg-Strauss syndrome and any medication has been proved.

References
  1. Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4. Accessed May 21, 2013.
  2. Vaglio A, et al. Churg-Strauss syndrome: Update on pathophysiology and treatment. Current Opinions in Rheumatology. 2012;24:24.
  3. Baldini C, et al. Clinical manifestations and treatment of Churg-Strauss syndrome. Rheumatic Disease Clinics of North America. 2010;36:527.
  4. Vaglio A, et al. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): State of the art. Allergy. 2013;68:261.
  5. King TE Jr. Clinical features and diagnosis of eosinophilic granulomatosis with polyangiitis (Churg-Strauss). http://www.uptodate.com/home. Accessed May 21, 2013.
  6. Paggiaro P, et al. Montelukast in asthma: A review of its efficacy and place in therapy. Therapeutic Advances in Chronic Disease. 2011;2:47.
  7. Bibby S, et al. Association between leukotriene receptor antagonist therapy and Churg-Strauss syndrome: An analysis of the FDA AERS database. Thorax. 2010;65:132.
  8. Imboden JB, et al. Current Rheumatology Diagnosis & Treatment. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2007. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=38. Accessed May 21, 2013.
  9. Medication and side effects. The Churg-Strauss Syndrome Association. http://www.cssassociation.org/medications-and-side-effects.html. Accessed May 25, 2013.
  10. King TE Jr. Treatment and prognosis of Churg-Strauss syndrome of eosinophilic granulomatosis with polyangiitis (Churg-Strauss). http://www.uptodate.com/home. Accessed May 21, 2013.
DS00855 July 12, 2013

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