Colecistitis aguda alitiásica como manifestación inicial de una granulomatosis eosinofílica con poliangeítis (Churg-Strauss). A propósito de un caso

Abstract

Eosinophilic granulomatosis with polyangiitis (Churg-Stauss) is a systemic vasculitis with eosinophil-rich and necrotizing granulomatous inflammation and necrotizing vasculitis predominantly affecting small to medium vessels. It often involves the respiratory tract and is associated with asthma and eosinophilia.We describe a case in which acute acalculous cholecystitis was the initial manifestation of the disease.Although acute acalculous cholecystitis rarely appears as an early manifestation in eosinophilic granulomatosis with polyangiitis, this entity should be taken into consideration in the differential diagnosis of patients with abdominal pain of unknown origin and a history of eosinophilia, asthma, or allergic rhinitis.