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Thorax 2002;57:183-185 doi:10.1136/thorax.57.2.183
  • Case Report

Montelukast and Churg-Strauss syndrome

  1. R Solans1,
  2. J A Bosch1,
  3. A Selva1,
  4. R Orriols2,
  5. M Vilardell1
  1. 1Department of Internal Medicine, Vall d'Hebrón University General Hospital, Barcelona 08035, Spain
  2. 2Department of Pneumology, Vall d'Hebrón University General Hospital
  1. Correspondence to:
    Dr R Solans;
    rsolans{at}hg.vhebron.es
  • Accepted 24 August 2001
  • Revised 25 July 2001

Abstract

Several cases of eosinophilic conditions including Churg-Strauss syndrome (CSS) have recently been reported in asthmatic patients being treated with antileukotriene receptor antagonists. One patient with CSS who experienced a clinical relapse after treatment with montelukast and two asthmatic patients who developed CSS while receiving montelukast treatment are described. In one case reduction in the dose of oral steroid preceded the onset of CSS. To our knowledge, no case of CSS relapse has previously been reported in association with leukotriene antagonists.

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