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Chest, Vol 100, 1472-1473, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Churg-Strauss angiitis. Arguments favoring the responsibility of inhaled antigens

L Guillevin, J Amouroux, B Arbeille and R Boura
Department of Internal Medicine, Hopital Avicenne, Bobigny, France.

A 27-year-old man presented with relapsing vascular limb purpura, pulmonary infiltrates and cranial nerve palsies occurring after exposure to pigeons. A lung biopsy specimen showed Churg-Strauss angiitis. Actinomycetes were observed in pneumocytes. The circumstances preceding clinical manifestations and pathologic findings favored the diagnosis of pulmonary vasculitis as a consequence of inhaled antigen. Recovery was obtained after treatment with prednisone, cyclophosphamide, and plasma exchanges.


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Copyright © 1991 by the American College of Chest Physicians.