Case Report

A Case of Montelukast-Induced Churg-Strauss Syndrome Associated with Liver Dysfunction

Table 1

Laboratory findings showed marked eosinophilia (eo), elevation of liver enzymes, immunoglobulin G and E, erythrocyte sedimentation late, and C-reactive protein. Rheumatoid factor (RF) was positive, while antineutrophil cytoplasmic antibodies (ANCA) were negative.

ParametersValue

White blood cells11050/μL
Eosinophils40%
Hemoglobin12.2 g/dL
Platelets 2 4 . 3 × 1 0 4 /μL
IgG3695 mg/dL
IgA193 mg/dL
IgM50 mg/dL
IgD1.1 mg/dL
IgE2880 IU/mL
LDH323 IU/L
AST78 IU/L
ALT90 IU/L
ALP1048 IU/L
y-GTP281 IU/L
Total bilirubin1.7 mg/dL
Total protein9.1 g/dL
Albumin3.6 g/dL
BUN13 mg/dL
Creatinin0.73 mg/dL
Triglyceride62 mg/dL
Total cholesterol150 mg/dL
ESR135 mm/h
CRP4.94 mg/dL
c-ANCA
p-ANCA
Rheumatoid factor +