Postpartum onset and subsequent relapse of eosinophilic granulomatosis with XXXX .

@entity1 @entity3329 @entity1910 @entity1333 @entity786 @entity2883 @entity4841
Eosinophilic @entity2883 with @entity2883 (EGPA) can affect @entity1 of childbearing age. However, reports of the disease in the postpartum period are limited. We present a case of postpartum-onset EGPA that went into clinical remission before relapsing in the subsequent postpartum period. Our @entity1 presented with dyspnoea, @entity4841 and @entity1910 , shown to be @entity1333 , 3   days following the birth of her second @entity1 . CT of the thorax showed alveolar shadowing and mediastinal @entity3329 . She was treated successfully for EGPA with glucocorticoid therapy. She declined maintenance treatment during remission. Off treatment, she remained disease free throughout her next pregnancy. In the postpartum period she relapsed in an almost identical manner, requiring prolonged glucocorticoid therapy, @entity786 and rituximab. This case highlights the importance of maintenance therapy around pregnancy in individuals with EGPA, and the need for careful monitoring of @entity1 with a history of EGPA in the postpartum period.
