Criteria
for the classification of Churg-Strauss syndrome (CSS). The presence of four or
more of these criteria yields a sensitivity of 85% and a specificity of 99.7%
for CSS according to the American College of Rheumatology (ACR).
ACR criteria
Present in our patient
Asthma
Yes
Eosinophilia
>10% on differential white blood cell count
Yes
Mononeuropathy
or polyneuropathy
Yes
Migratory or
transient pulmonary opacities detected radiographically
Yes
Paranasal
sinus abnormalities
No
Biopsy
containing a blood vessel showing the accumulation of eosinophils in
extravascular areas