<prompt> Which of the following is not true about Churg Strauss SyndromeAsthmaPeripheral eosinophiliaVasculitis of multiple organ systemsIntravascular Granulomas  <response>: Answer is D Intravascular Granulomas: Churg Strauss Syndrome is typically charachterized by extravascular granulomas. Churg Strauss Syndrome also referred to allergic angitis and granulomatosis is charachterized by asthma, peripheral and tissue eosinophilia, extravascular granuloma formation and vasculitis of multiple organ systems - Harrisons 18th Churg Strauss Syndrome is typically associated with Cutaneous Extravascular Necrotizing Granulomas CENG. - Practical Immunodermatology Note that intravascular granulomas present within the walls of the vessels themselves may also be seen in Churg Strauss Syndrome. This is however not a charachteristic feature. 