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Arch Iran Med. 2023;26(11): 662-664.
doi: 10.34172/aim.2023.97
PMID: 38310427
PMCID: PMC10864941
  Abstract View: 323
  PDF Download: 202

Case Report

Cardiac Mass and Cerebrovascular Accident as Primary Manifestations of Churg-Strauss Syndrome

Fariba Abbasi 1,2 ORCID logo, Ata Abbasi 2* ORCID logo, Alireza Rostamzadeh 3 ORCID logo, Seyede Zohre Banihashemi 2 ORCID logo, Aliakbar Rajabi 2 ORCID logo

1 Solid Tumor Research Center, Cellular and Molecular Medicine Research Institute, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Pathology, Faculty of Medicine, Urmia University of Medicine, Urmia, Iran
3 Department of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
*Corresponding Author: Ata Abbasi, Email: aabbasi@alumnus.tums.ac.ir

Abstract

Churg-Strauss syndrome (CSS), recently named eosinophilic granulomatosis with polyangiitis (EGPA), is a rare form of systemic vasculitis with extravascular granulomas occurring in patients with asthma and tissue eosinophilia. We represent a large left ventricular granuloma, confirmed by histopathologic evaluation, detected as a ventricular mass by echocardiography in a 45-year-old asthmatic male who was admitted for a cerebrovascular accident. Paraclinical and histopathologic findings confirmed the diagnosis of EGPA. As cardiac involvement in patients with EGPA is associated with poor prognosis, routine echocardiographic evaluation of these patients is suggested.

Cite this article as: Abbasi F, Abbasi A, Rostamzadeh A, Banihashemi SZ, Rajabi A. Cardiac mass and cerebrovascular accident as primary manifestations of Churg-Strauss syndrome. Arch Iran Med. 2023; 26(11):662-664. doi: 10.34172/aim.2023.97
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Submitted: 08 Feb 2023
Revision: 03 Jun 2023
Accepted: 03 Jul 2023
ePublished: 01 Nov 2023
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