Endobronchial Lipoma in a Patient with Churg-Strauss Syndrome

Abstract

Churg-Strauss syndrome (CSS) is a disorder characterized by hypereosinophilia and systemic vasculitis complicating a preexisting asthma. We report here a case of CSS with an endobronchial lesion, initially considered to be an endobronchial granuloma of CSS, which was finally diagnosed as a lipoma, a very rare benign tumor of the tracheobronchial tree. To our knowledge, this is the first case in the literature presenting with these two rare entities.

Key words

Churg-Strauss syndrome - eosinophilia - endobronchial lipoma

References

• 1 Masi A T, Hunder G G, Lie J T. et al . The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis).  Arthritis Rheum. 1990;  33 1094-1100
• 2 Churg A. Recent advances in the diagnosis of Churg-Strauss Syndrome.  Mod Pathol. 2001;  14 1284-1293
• 3 Abril A, Calamia K T, Cohen M D. The Churg-Strauss Syndrome (allergic granulomatous angiitis): review and update.  Semin Arthritis and Rheum. 2003;  33 106-114
• 4 Jensen M S, Petersen A H. Bronchial lipoma.  Scand J Thorac Cardiovasc Surg. 1970;  4 131-134
• 5 Dogan R, Unlu M, Gungen Y, Moldibi B. Endobronchial lipoma.  Thorac Cardiovasc Surg. 1988;  36 241-243
• 6 Muraoka M, Oka T, Akamine S. et al . Endobronchial lipoma: review of 64 cases reported in Japan.  Chest. 2003;  123 293-296
• 7 Basoglu A, Celik B, Akdag A O, Sengul A T. Endobronchial lipoma: a rare cause of bronchial occlusion.  Interac Cardiovasc Thorac Surg. 2004;  3 263-264