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Previous Volume 344:858-859 March 15, 2001 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Dr. Arm's discussion (Sept. 28 issue)¹ of a case of the Churg–Strauss syndrome in a man who was receiving multiple asthma medications, including montelukast (Singulair, Merck), did not include important medical history. Information received through our pharmacovigilance program indicates that, before treatment with montelukast was started, the patient had recurrent bilateral pulmonary infiltrates and an ill-defined episode of asthma, diarrhea, weight loss, anemia, and pleural effusion, which responded rapidly to treatment with high doses of corticosteroids. All this suggests that the patient had a forme fruste of the Churg–Strauss syndrome before the initiation of montelukast.

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