Churg-Strauss syndrome laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2]Associate Editor(s)-in-Chief: Krzysztof Wierzbicki M.D. [3]

Overview

Laboratory findings consistent with the diagnosis of Eosinophilic granulomatosis with polyangiitis include, antineutrophil cytoplasmic antibodies, hypereosinophilia, and elevated immunoglobulin E titers (IgE).

Laboratory Findings

Laboratory findings consistent with the diagnosis of Eosinophilic granulomatosis with polyangiitis include, antineutrophil cytoplasmic antibodies, hypereosinophilia, and elevated immunoglobulin E titers (IgE). Routine laboratory tests that are used to identify Eosinophila granulomatosis with polyangiitis are:

Blood Work-up

  • Complete blood count (CBC)
  • Uremia
  • Serum creatinine
  • Blood urea nitrogen (BUN)
  • Antineutrophil cytoplasmic antibody test
  • Eosinophilia
  • Immunoglobulin
  • Erythrocyte sedimentation rate (ESR)
  • C-reactive protein (CRP)
  • Serum troponin[1]

Urinalysis

  • Proteinuria
  • Microscopic hematuria
  • Red blood cell casts

Biopsy

Renal biopsy is the

Diagnostic markers include eosinophil granulocytes and granulomas in affected tissue and Anti-neutrophil cytoplasmic antibodies (ANCA) against neutrophil granulocytes.

The findings on other laboratory studies is nonspecific. Eosinophilia (5K-9K/uL) may be present. Anemia, elevated erythrocyte sedimentation rate (ESR), leukocytosis, elevated immunoglobin E (IgE), hypergammaglobulinemia, and a low-positive rheumatoid factor (RF


References

  1. McAleavey N, Millar A, Pendleton A (2013). "Cardiac involvement as the main presenting feature in eosinophilic granulomatosis with polyangiitis". BMJ Case Rep. 2013 ( ):  . doi:10.1136/bcr-2013-009394. PMC 3736255. PMID 23853013.

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