Churg-Strauss syndrome physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Appearance of the Patient
- Patients with eosinophilic granulomatosis with polyangiitis usually appear ill.
Vital Signs
- Fever
- Tachypnea
- Hypertension
Skin
- Skin examination of patients with eosinophilic granulomatosis with polyangiitis may show:[1]
- Petechiae
- Ecchymosis
- Urticarial rash
- Purpura
- Nodules
HEENT
- Sinusitis[2]
- Rhinitis
- Nasal polyps
- Otitis media
- Hearing acuity may be reduced
- Weber test may be abnormal
- Rinne test may be abnormal
- Inflamed nares / congested nares
- Facial tenderness
Neck
- Neck examination of patients with eosinophilic granulomatosis with polyangiitis is usually normal.
Lungs
The examination may show signs of:[3]
- Asthma
- Wheezing
- Expiratory ronchi
- Pleural effusion
- Pulmonary hypertension(Basilar crackles)
Heart
- Examination may show signs of pericarditis, myocarditis and heart failure, myocardial infarction.[4]
- Chest pain
- Pericardial friction rub
- Murmurs
Abdomen
Abdominal examination of patients with eosinophilic granulomatosis with polyangiitis may show :
- Abdominal tenderness
- Guarding
- Abdominal mass may be found
Back
- Back examination of patients with eosinophilic granulomatosis with polyangiitis is usually normal.
Genitourinary
- Examination may show signs of glomerulonephritis and renal failure. (eg, Anaemia, hypertension, edema, abdominal distension)
Neuromuscular
- Patient is usually oriented to persons, place, and time.
- Peripheral neuropathy
- Mononeuritis multiplex - foot drop, wrist drop[5]
- Cranial nerve palsy
- Stroke
Extremities
- Extremities examination of patients with eosinophilic granulomatosis with polyangiitis may show tingling and numbness of extremities.
- Myalgia
- Arthralgia
References
- ↑ Davis MD, Daoud MS, McEvoy MT, Su WP (August 1997). "Cutaneous manifestations of Churg-Strauss syndrome: a clinicopathologic correlation". J. Am. Acad. Dermatol. 37 (2 Pt 1): 199–203. PMID 9270504.
- ↑ Bacciu A, Bacciu S, Mercante G, Ingegnoli F, Grasselli C, Vaglio A, Pasanisi E, Vincenti V, Garini G, Ronda N, Ferri T, Corradi D, Buzio C (May 2006). "Ear, nose and throat manifestations of Churg-Strauss syndrome". Acta Otolaryngol. 126 (5): 503–9. doi:10.1080/00016480500437435. PMID 16698700.
- ↑ Dunogué B, Pagnoux C, Guillevin L (June 2011). "Churg-strauss syndrome: clinical symptoms, complementary investigations, prognosis and outcome, and treatment". Semin Respir Crit Care Med. 32 (3): 298–309. doi:10.1055/s-0031-1279826. PMID 21674415.
- ↑ Brucato A, Maestroni S, Masciocco G, Ammirati E, Bonacina E, Pedrotti P (September 2015). "[Cardiac involvement in Churg-Strauss syndrome]". G Ital Cardiol (Rome) (in Italian). 16 (9): 493–500. doi:10.1714/1988.21524. PMID 26418389.
- ↑ Wolf J, Bergner R, Mutallib S, Buggle F, Grau AJ (April 2010). "Neurologic complications of Churg-Strauss syndrome--a prospective monocentric study". Eur. J. Neurol. 17 (4): 582–8. doi:10.1111/j.1468-1331.2009.02902.x. PMID 20050889.