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Meena Chaudhari, MS(ENT); Pablo Martinez-Devesa, FRCSEd(Oto); Andrew Leonard, FRCP; D. Gupta, FRCS(ORL)
Great Western Hospital, Swindon, England

Arch Otolaryngol Head Neck Surg. 2005;131:739.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 52-year-old man with chronic polypoidal sinusitis, which had been endoscopically treated 2 years earlier, and known Churg-Strauss syndrome (CSS) presented to the emergency department with an acute onset of pyrexia (temperature, 38°C), right orbital swelling, pain, and diplopia. At the time of admission, he was taking azathioprine (150 mg) and prednisolone (10 mg/d). Five years earlier, he had presented with ischemic optic neuritis, eosinophilia, leukocytoclastic vasculitis, and peripheral neuropathy, along with a relatively short history of asthma and rhinosinusitis. The optic neuritis responded completely to intravenous therapy with cyclophosphamide and methylprednisolone. The diagnosis was subsequently confirmed by an elevated titer of antimyeloperoxidase antibodies and by a skin biopsy specimen that demonstrated vasculitis with extravascular eosinophils.

Ophthalmologic examination revealed exophthalmos of the right eye, with inflammation of the surrounding skin, and proptosis in a downward and outward direction . . . [Full Text of this Article]

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