Atypical presentation of eosinophilic granulomatosis-typical presentation in an ageing population?

Severe systemic vasculitis presenting in an 80 year old female involv-ing a presentation with recurrent pyrexia, eosinophilia, mononeuritis multiplex against a background of late onset asthma, consistent with eosinophilic vasculitis with angiitis is described. Despite appropriate management with resolution of systemic symptoms, she failed to re-turn to baseline functionality. Systemic vasculitis is rare in this population cohort, but it is important to consider as it is treatable albeit with a guarded outlook for full neurological recovery.