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Eosinophilic granulomatosis with polyangiitis: an unusual cause of stroke
  1. Alison Lee Huckenpahler1,2,
  2. Harris Iqbal3,
  3. Alexander Gallan3 and
  4. Pinky Jha4
  1. 1Medical Scientist Training Program, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  2. 2Department of Psychiatry, Washington University in St Louis, St Louis, Missouri, USA
  3. 3Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  4. 4Division of General Internal Medicine, Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  1. Correspondence to Dr Alison Lee Huckenpahler; a.huckenpahler{at}wustl.edu

Abstract

Stroke has become increasingly common with the rise in hyperlipidaemia, hypertension and other metabolic disorders. In this case, a 69-year-old man with several weeks of non-specific symptoms and no history of metabolic disorders presents with unilateral weakness and supraventricular tachycardia. Kidney biopsy confirmed a diagnosis of eosinophilic granulomatosis with polyangiitis. He responded well to rituximab infusions.

  • vasculitis
  • acute renal failure
  • stroke
  • pacing and electrophysiology

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Footnotes

  • Twitter @AlisonH_MDPhD

  • Contributors ALH wrote the manuscript. PJ, HI and AG edited the manuscript. AG and HI took the histological images of the kidney biopsy.

  • Funding This study was funded by National Eye Institute and National Institute of General Medical Sciences (T32GM080202).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.