Asthma diagnosis and treatment – 1019. Churg Strauss Syndrome – missed diagnosis and consequences

Methods Case notes with investigations was retrieved from various specialists attending to the index patient with undiagnosed pulmonary symptoms and pulmonary infiltrates withsystemic disease,especially chronic abdominal symptoms over a two year period. During the patient’s last admission she again presented with intractable abdominal pain, pyrexia, systemic hypertension (BP 170/140), loss of weight, emaciated (24 Kg), purpuric eczematous rash on the upper limb,unable to walk with marked weakness (polyneuropathy) and was being prepared for laparoscopic cholecystectomy by the surgeons for suspected cholecystitis.