• Yuki Ueta, Yuki Akiba, Jun Yamazaki, Yoshihiko Okubo, Takeshi Taguchi, Hiroo Terashi, K Hayashi Yukiko Y Department of Pathophysiology, Tokyo Medical University, Japan., and Hitoshi Aizawa.
• Department of Neurology, Tokyo Medical University Hachioji Medical Center, Japan.
• Intern. Med. 2020 Dec 1; 59 (23): 3089-3092.

AbstractEosinophilic granulomatosis with polyangiitis (EGPA) is a rare condition of systemic vasculitis of small to medium-sized blood vessels. We herein report the case of a 75-year-old man who presented with hemiplegia on his right side due to cerebral infarction following myalgia and a high fever. He had no history of asthma or allergic rhinitis. He was diagnosed with EGPA based on the presence of eosinophilia, sinusitis suggested by magnetic resonance imaging, and muscle pathology. His hemiplegia improved rapidly after corticosteroid therapy. This case suggests that EGPA should be a differential diagnosis of cerebral infarction with myalgia and eosinophilia.

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