Churg-Strauss syndrome revealed by acute abdominal pain

We describe a 10-year-old girl with Churg-Strauss syndrome, who presented w ith acute abdominal pain, bloody diarrhea, and pulmonary infiltrates. She h ad a 6-year history of severe asthma. Bronchoalveolar lavage showed marked eosinophilia. She responded well to high-dose intravenous corticosteroid pu lse therapy for 3 consecutive days, followed by oral steroids without devel oping major side effects. This case should remind pediatricians of the rare existence of this vasculitis in children. Relapse is not uncommon, and lon g-term careful supervision is necessary. (C) 2001 Wiley-Liss. Inc.