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Lim, Cho, Kim, Hwang, Kim, and Choi: Churg-Strauss Syndrome with Cardiac Involvement: A Case Report with CT and MRI Findings
Case Report
Cardiovascular Radiology
Journal of the Korean Society of Radiology

Journal of the Korean Society of Radiology 2012; 66(2): 133-137.

Published online: 14 February 2012

DOI: https://doi.org/10.0000/jksr.2012.66.2.133

Churg-Strauss Syndrome with Cardiac Involvement: A Case Report with CT and MRI Findings

Seong Joo Lim, MD1, Young Jun Cho, MD1, Keum Won Kim, MD1, Cheol Mok Hwang, MD1, Dae Ho Kim, MD1, Eu Gene Choi, MD2

1Department of Radiology, Konyang University College of Medicine, Daejeon, Korea.

2Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.

Corresponding author: Young Jun Cho, MD. Department of Radiology, Konyang University College of Medicine, 158 Gwanjeodong-ro, Seo-gu, Daejeon 302-718, Korea. Tel. 82-42-600-9040, Fax. 82-42-600-9193, cyj126@paran.com

Received 18 August 2011       Accepted 1 November 2011

Copyright © 2012 The Korean Society of Radiology

Abstract

This is a case report of Churg-Strauss Syndrome (CSS) associated with cardiac involvement which is demonstrated in chest CT and cardiac MRI (CMR) without specific cardiac symptoms. A 32-year-old woman had a 3-year history of bronchial asthma, chronic sinusitis, and otitis media. The patient had various typical findings of CSS. The patient had no specific cardiac symptoms or signs such as chest pain, palpitations, syncope, or murmur, but she had diffuse low attenuation lesions in the inner wall of the left ventricle (LV) in contrast-enhanced CT. This corresponded to the area of subendocardial hyperenhancement in delayed contrast-enhanced CMR images. She was treated with steroids for 2 months. Follow-up delayed contrast-enhanced CMR of the LV showed a decrease in the size of the subendocardial enhancement area, and she had no symptoms. Therefore, the radiologist and clinician both should pay careful attention to observe possible cardiac involvement in case of CSS.

Keywords: Churg-Strauss Syndrome, CT, Magnetic Resonance, Cardiomyopathy, Lung Abnormalities

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