Lymph node manifestations of limited Churg-Strauss syndrome

Churg-Strauss syndrome is a systemic vasculitis characterized by asthma, ti ssue and blood eosinophilia, and granulomatous vasculitis. Lymph node invol vement as part of systemic disease or as the primary site of involvement is rare. We report a single case of primary (isolated) nodal Churg-Strauss sy ndrome occurring in an 11-year-old boy with asthma, fever, night sweats, an d cervical adenopathy. The clinical diagnosis was lymphoma. The unusual pre sentation of Churg-Strauss syndrome limited to lymph nodes is important to recognize and diagnose correctly because the administration of steroid ther apy is associated with a favorable outcome.