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Postgraduate Medical Journal 2001;77:390-391; doi:10.1136/pmj.77.908.390
Copyright © 2001 The Fellowship of Postgraduate Medicine.
Postgrad Med J 2001;77:390-391 ( June )

Adverse drug reaction of the month

Churg-Strauss syndrome associated with montelukast A Mukhopadhyay, N N Stanley

Department of Medicine, Lister Hospital, Coreys Mill Lane, Stevenage, Herts SG1 4AB, UK

Correspondence to: Dr Stanley

Submitted 20 June 2000; Accepted 25 September 2000

Churg-Strauss syndrome (CSS) has recently been reported in patients with asthma receiving leukotriene receptor antagonists (LTRAs). In this paper a case of CSS after treatment with montelukast is described. As in other LTRA treated cases, prior withdrawal of maintenance oral steroid may have unmasked a previously occult CSS in the patient, but a dramatic improvement in his eosinophilia after withdrawing montelukast implied that the drug also had a direct effect in activating this condition.


Keywords: leukotriene receptor antagonists; Churg-Strauss syndrome; eosinophilia; asthma


© 2001 by The Fellowship of Postgraduate Medicine

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This article has been cited by other articles:

  • Tang, M. B. Y., Yosipovitch, G. (2003). Acute Churg-Strauss Syndrome in an Asthmatic Patient Receiving Montelukast Therapy. Arch Dermatol 139: 715-718 [Full Text]  

eLetters:

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Can montelukast exacerbate allready present mild CSS.
Mohamad Abdelsalam
Postgrad Med J Online, 19 Jul 2002 [Full text]

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