I was contacted by a young lady (31 years) who had experienced
asthmatic problems since her childhood.
In the main these were allergy kinds of problems and severe hayfever.
For the past few years her problem had become progressivley
considerably worse to the point where she was unable to continue with
her work circumstance. (Public relations kind of thing) She was to the
point of desperation. Her specialist doctor had kept her on various
strong asthmatic drugs including moderate dosage pred for the past
three years.
Inspecting her home really showed virtually no apparent contaminant of
any description that might explain her situation. The entire area was
free of problem pollen producing plants and no pets were involved.
She was not under any major stress apart from worry about her
situation. Her general health was not very good and she commonly
suffered with bronchial and ENT infections.
Her antibiotic useage history was in the order of at least three times
a year for the past five years and she mentioned that she always caught
everything going around.
Sitting down with the family and discussing possible food intake or
diet indicated nothing odd and it was suggested to try an entirely
different diet for a short while also trying no gluten substances. The
rest of the family were asked to pay strict attention to any scents or
aromatic substances they may have brought into the home for an interim
period.
She also tried the cold showering method for fourteen days and had no
appreciable benefit.
Previous situations like this have been found to be chlamydia related
so it was suggested to try another specialist doctor looking at a
bacterea or blood related kind of problem.
Some weeks later she saw a new specialist, he immediately hospitalised
her and began running tests.
She was diagnosed with Churg-Strauss Syndrome which was significantly
advanced, and she had a mild stroke at about this time.
She is currently not doing all that well and is undergoing some kind of
chemo-therapy treatment plus prednisone and targetted antibiotics.
She did advise the result to me, but I had never heard of this
particular problem, so it was certainly interesting for me.
When I actually saw her and checked her home I could not believe that
anyone could be so ill without any obvious apparent reason.
Her previous doctor had simply given her differing prescriptions, but
it was mentioned that it was likely that the Prednisone dosage she had
previously been on had actually saved her.
Her actual symptoms were exactly the same as really severe asthma.
The current situation is "touch and go", prognosis "wait and see"!
It certainly brings home the fact that asthma may not be asthma in the
normal true sense.
This is information only and no proof is given.
Cheers, Merlin.
Yuriwaka - 10 Dec 2005 21:51 GMT
In my expirence Churg-Strauss Syndrome almost always presents as a asthma
and is most often diagnosed by respiratory specialists, who generally are
well aware of this potential diagnosis when assessing patients who present
with sundden worsening of asthma over a short period of time without other
decernible triggers
>I was contacted by a young lady (31 years) who had experienced
> asthmatic problems since her childhood.
[quoted text clipped - 44 lines]
> This is information only and no proof is given.
> Cheers, Merlin.
Brad_Chad - 17 Dec 2005 22:24 GMT
> I was contacted by a young lady (31 years) who had experienced
> asthmatic problems since her childhood.
[quoted text clipped - 44 lines]
> This is information only and no proof is given.
> Cheers, Merlin.
Try talking to a naturopathic doctor (Yellow Pages) or an
alternative doctor (www.acam.org). Conventional doctors may be looking
at the situation too rigidly.
Brad_Chad
Richard Friedel - 19 Dec 2005 07:43 GMT
Yes, particularly when it comes to a basic understanding of breathing
without Churg being involved. Most docs want to basically facilitate
breathing by relaxing airways, but natural resistance to the flow of
air is also important. Who can stay healthy and active he keeps his
mouth wide open drastically reducing resistance when breathing in?
Beware of tricksters who conjure up some astonishing but short-lived
cures offending against natural laws. Looks like "pulmonology" is
due for modernization someday owing to the imitative of exploited
patients. Who else? Regards, Richard Friedel
Churg-Strauss http://www.emedicine.com/MED/topic2926.htm
Churg-Strauss syndrome (CSS), or allergic granulomatous angiitis, is a
rare syndrome that affects small- to medium-sized arteries and veins.
Wegener granulomatosis (WG), CSS, and the microscopic form of
periarteritis (ie, microscopic polyangiitis) are 3 vasculitic syndromes
involving medium- and small-sized vessels that are closely related and
are associated with antibodies to neutrophil cytoplasmic antigens
(ANCA).
A CSS-like syndrome develops as a rare complication in people with
asthma who are steroid dependent and who are treated with leukotriene
receptor antagonists (eg, montelukast, zafirlukast) with reduction in
their oral steroid dose. The CSS-like complication is reported in
people whose withdrawal of oral steroids is facilitated by inhaled
steroids as well. This complication probably is related to steroid
withdrawal, which unmasks underlying CSS, rather than to the drugs
themselves. However, in rare cases, this syndrome has occurred when a
leukotriene receptor antagonist has been substituted for inhaled
steroids, without a history of oral steroid withdrawal.
In the US: Incidence is 1-3 cases per 100,000 adults per year.