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  1. C Grohé,
  2. S Pabst
  1. University of Bonn, Bonn, Germany
  1. Dr C Grohé, University of Bonn, Sigmund Freud Strasse 25, Bonn 53105, Germany; Christian.grohe{at}

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We thank Giavina-Bianchi et al for their response to our letter. Treatment of patients with Churg–Strauss syndrome (CSS) remains a challenge owing to the heterogeneity of the underlying symptoms. We have followed our patients since early 2006 and have noticed an overall improvement in both pulmonary …

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