Fadi Qutishat^{1, 2,}, Vinod Sudhir^{1, 3}, Ehab Abu Marar⁴

Vasculitis syndromes rarely co-exist with pregnancy; for example, Eosinophilic Granulomatosis with Polyangiitis (EGPA) ( formerly known as Churg-Struss Syndrome) is even rarer. Vasculitis syndromes often have a poor prognosis, making diagnosis very problematic, and generally, we do not have much literature about the anesthetic management of these rare types of vasculitis. Our study reports a case scenario of a 38- year-old woman who is pregnant and has been diagnosed with EGPA. She completed a successful pregnancy and was subject to emergency category II cesarean section delivery under regional anesthesia at University College Hospital Galway-Ireland. The patient coped well during the pregnancy apart from the reoccurrence of an asthma attack and allergic rhinitis at mid-pregnancy, which responded to an upsurge in steroid dosage. Clinical effects and choice the type of anesthesia and it’s relation to vasculitis are discussed.

Eosinophilic Granulomatosis with polyangiitis, vasculitis syndrome, anesthesia, pregnancy, diagnosis