Anesthetic management of a patient with the allergic granulomatous angitis (Churg-Strauss syndrome)
Sato, H.; Shimoda, O.; Terasaki, H.
Masui. Japanese Journal of Anesthesiology 47(9): 1114-1117
1998
ISSN/ISBN: 0021-4892 PMID: 9785789 Document Number: 497467
We gave anesthesia 4 times to a patient (19-year old female) with allergic granulomatous angitis (AGA). She had asthma, myopathy and detrimental side effect in her eyes of steroid therapy for AGA. Two of the 4 operations were emergency laparotomy for peritonitis due to colon perforation, and the other 2 operations were elective eye surgeries. General anesthesia was induced with thiamylal (1 st operation) or midazolam (2 nd-4 th operation). Intraoperative anesthesia was maintained with N2O-O2-isoflurane combined with thoracic epidural anesthesia (1 st operation) or N2O-O2-sevoflurane (2 nd-4 th operation). Asthmatic attack, which AGA accompanies frequently, did not occur during these anesthetic managements. The steroid therapy, which is a fundamental means to control the allergic syndrome, might suppress asthma. However, asthmatic attack and systemic vasculitis should be kept in mind in anesthetic management of AGA.