Abstract
Eosinophilic granulomatosis with polyangitis (EGPA), formerly known as Churg-Strauss syndrome (CSS), is a rare systemic vasculitis of unknown aetiology characterised by necrotising small-vessel vasculitis and eosinophil-rich granulomatous inflammation of tissues and vessels, associated with asthma and peripheral blood eosinophilia. 1 We report the rare case of a 36-year-old lady with a one-year history of difficult-to-treat bronchial asthma with rhino-sinusitis, vasculitic skin lesions, symptoms of peripheral neuropathy, peripheral blood eosinophilia and chest x-ray showing hyperinflation with pulmonary infiltrates. A diagnosis of EGPA was made and patient made significant improvement on therapy.