Preparing for your appointment

If you have signs and symptoms common to Churg-Strauss syndrome, make an appointment with your doctor. Early diagnosis and treatment significantly improves the outlook of this condition.

If your primary care doctor suspects Churg-Strauss syndrome, he or she will likely refer you to a doctor who specializes in disorders that cause blood vessel inflammation (vasculitis), such as a rheumatologist or immunologist.

Here's some information to help you get ready for your appointment.

What you can do

  • Be aware of any pre-appointment restrictions. When you make an appointment, ask if you need to do anything in advance, such as restrict your diet. Also ask if you need to stay at your doctor's office for observation following your tests.
  • List all your symptoms and how long they've been present — even those that seem unrelated to your main problem. Churg-Strauss syndrome can cause symptoms throughout your body.
  • List your key medical information, including other conditions with which you've been diagnosed and the names of all medications, vitamins and supplements you're taking. If possible, take along all of your medications in their original bottles.

    If you have seen other doctors for your condition before this visit, bring a letter summarizing their findings. Taking a copy of your previous chest X-ray or sinus X-ray also could be very helpful.

  • List key personal information, including any recent changes or stressors in your life.
  • Take a family member or friend along. Churg-Strauss syndrome is a complicated disorder, and it can be helpful to have another person who can help remember something that you forgot or missed.
  • List questions that you want to ask your doctor.

For signs and symptoms common to Churg-Strauss syndrome, some basic questions to ask include:

  • What's the most likely cause of my condition?
  • What are other possible causes for my condition?
  • What diagnostic tests do I need?
  • What treatment do you recommend?
  • How much do you expect my symptoms to improve with treatment?
  • How long will I need to take medications?
  • Am I at risk of complications from this condition, or from the medications used to treat it?
  • What steps can I take to minimize medication side effects?
  • What life changes can I make to help reduce or manage my symptoms?
  • How often will you see me for follow-up tests?

What to expect from your doctor

A doctor who sees you for possible Churg-Strauss syndrome is likely to ask a number of questions, such as:

  • What are your symptoms, and when did you first notice them?
  • Have your symptoms gotten worse over time?
  • Do your symptoms include shortness of breath?
  • Do your symptoms include sinus problems?
  • Do your symptoms include any gastrointestinal problems, such as nausea, vomiting or diarrhea?
  • Have you lost weight without trying?
  • Have you been diagnosed with any other medical conditions, including allergies or asthma?
  • If you have allergies or asthma, when were you first diagnosed?
  • What medications have you taken to help manage your other conditions, and for how long?
  • Have your other conditions been getting worse or more difficult to manage?
Aug. 16, 2016
  1. Greco A, et al. Churg-Strauss syndrome. Autoimmunity Reviews. 2015;14:341.
  2. Churg Strauss syndrome. National Organization for Rare Disorders. Accessed June 25, 2016.
  3. Churg-Strauss syndrome (CSS). American Academy of Allergy, Asthma and Immunology. Accessed June 25, 2016.
  4. King TE. Clinical features and diagnosis of eosinophilic granulomatosis with polyangiitis (ChurgStrauss). Accessed June 25, 2016.
  5. Ferri FF. Eosinophilic granulomatosis with polyangiitis (ChurgStrauss syndrome). In: Ferri's Clinical Advisor 2016. Philadelphia, Pa.: Mosby Elsevier; 2016. Accessed June 25, 2016.
  6. Masi AT, et al. The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis). Arthritis and Rheumatism. 1990;33:1094.
  7. Medication and side effects. The Churg-Strauss Syndrome Association. Accessed June 27, 2016.
  8. Eosinophilic granulomatosis with polyangiitis (EGPA/ChurgStrauss syndrome). Vasculitis Foundation. Accessed June 25, 2016.