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Bronchial biopsies showed inflammatory infiltrates with a prevalence of eosinophils. All these findings led us to diagnose eosinophilic granulomatosis with polyangiitis, a systemic vasculitis with almost constant respiratory tract involvement and good response to corticosteroid treatment. This can also affect other organs including the nervous system, while muscular involvement is unusual. Some diseases deserve attention in differential diagnosis. Histology can support the diagnosis which remains essentially clinical. Steroid sparing agents\/immunosuppressants are suggested for extensive disease.<\/jats:p>","DOI":"10.1136\/bcr-2013-201589","type":"journal-article","created":{"date-parts":[[2014,6,30]],"date-time":"2014-06-30T09:09:54Z","timestamp":1404119394000},"page":"bcr2013201589","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Acute painful paraplegia in a 49-year-old man with allergic 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