Churg-Strauss Disease Treatment & Management

Updated: Jul 21, 2020
  • Author: Nir Shimony, MD; Chief Editor: Stephen L Nelson, Jr, MD, PhD, FAACPDM, FAAN, FAAP  more...
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Treatment

Medical Care

Medical management of cardiovascular, cardiac, renal, and gastrointestinal complications of Churg-Strauss disease (CSD), now known as eosinophilic granulomatosis with polyangiitis (EGPA), falls under the purview of subspecialty consultation. Drugs used in the treatment of EGPA  are described in Medication.

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Surgical Care

Surgical procedures in patients with Churg-Strauss disease (CSD), now known as eosinophilic granulomatosis with polyangiitis (EGPA), most commonly entail biopsy of affected tissues.

In addition, surgical intervention may be indicated in patients who experience catastrophic complications, such as acute abdomen or intracranial hemorrhage.

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Consultations

Consultations for patients with ofChurg-Strauss disease (CSD), now known as eosinophilic granulomatosis with polyangiitis (EGPA), depend on the manifestations of the disease. The cardiopulmonary manifestations typically are most important. Consultations with the following may be required:

  • Pulmonologist

  • Cardiologist

  • Rheumatologist

  • Gastroenterologist

  • Urologist

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Diet

No dietary factors are clearly known to assist in the management of Churg-Strauss disease (CSD), now known as eosinophilic granulomatosis with polyangiitis (EGPA), except as are related to the management of congestive heart failure, renal failure, or gastrointestinal complications. The management of these factors falls under the purview of subspecialists involved in the care of these organ systems.

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Activity

No clear evidence suggests that particular activities influence the course of Churg-Strauss disease (CSD), now known as eosinophilic granulomatosis with polyangiitis (EGPA), once it is established. Environmental exposures and medical treatment of asthma that may influence the chances for development of EGPA are discussed in Causes.

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