Abstract

Eosinophilic granulomatosis with polyangiitis (EGPA), previously known as Churg-Strauss disease, is a rare vasculitis that affects small- to medium-sized vessels and has a propensity to involve the heart. Patients with cardiac involvement have a poor prognosis and usually require immunosuppressive treatment along with corticosteroids. Cardiovascular magnetic resonance (CMR) is a non-invasive diagnostic tool for detecting cardiac involvement and guiding the management plan. We report a 39-year-old male patient with a known history of bronchial asthma who was referred to the chest clinic at a tertiary hospital in 2019 for further assessment of persistent lung parenchymal changes on chest computed tomography. Given the clinical context of the patient and the radiological findings, EGPA was suspected and confirmed with a lung biopsy. CMR was performed for further assessment, which confirmed cardiac involvement. The patient was started on prednisolone and azathioprine and showed significant radiological and clinical improvement.

Publication details

DOI
10.18295/squmj.4.2021.038
Journal
Sultan Qaboos University Medical Journal, 21(4), 644-647
Publisher
Sultan Qaboos University
Open access
Gold open access
License
CC BY-ND 4.0

Cite this article

APA 7

Al Umairi, R. S., Al Manei, K., Al Lawati, F., Al Mahrouqi, Y., & Al Balushi, F. (2025). Cardiac Involvement in Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Disease): The role of cardiovascular magnetic resonance. Sultan Qaboos University Medical Journal, 21(4), 644-647. https://doi.org/10.18295/squmj.4.2021.038

MLA 9

Al Umairi, Rashid S., et al. "Cardiac Involvement in Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Disease): The role of cardiovascular magnetic resonance." Sultan Qaboos University Medical Journal, vol. 21, no. 4, 2025, pp. 644-647. https://doi.org/10.18295/squmj.4.2021.038.

Chicago (author–date)

Al Umairi, Rashid S., Khalid Al Manei, Fatma Al Lawati, Yaqoob Al Mahrouqi, and Farida Al Balushi. 2025. "Cardiac Involvement in Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Disease): The role of cardiovascular magnetic resonance." Sultan Qaboos University Medical Journal 21 (4): 644-647. https://doi.org/10.18295/squmj.4.2021.038.

Harvard

Al Umairi, R. S., Al Manei, K., Al Lawati, F., Al Mahrouqi, Y. and Al Balushi, F. (2025) 'Cardiac Involvement in Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Disease): The role of cardiovascular magnetic resonance', Sultan Qaboos University Medical Journal, 21(4), pp. 644-647. doi:10.18295/squmj.4.2021.038.

Vancouver

Al Umairi RS, Al Manei K, Al Lawati F, Al Mahrouqi Y, Al Balushi F. Cardiac Involvement in Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Disease): The role of cardiovascular magnetic resonance. Sultan Qaboos University Medical Journal. 2025;21(4):644-647. doi:10.18295/squmj.4.2021.038

IEEE

R. S. Al Umairi, K. Al Manei, F. Al Lawati, Y. Al Mahrouqi, and F. Al Balushi, "Cardiac Involvement in Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Disease): The role of cardiovascular magnetic resonance," Sultan Qaboos University Medical Journal, vol. 21, no. 4, pp. 644-647, 2025, doi: 10.18295/squmj.4.2021.038.