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Churg Strauss syndrome is a rare disorder that is extremely rare during childhood. A total of 63 cases of pediatric Churg Strauss syndrome have been reported in the world. The aim of this book is to describe the 64th case of pediatric Churg Strauss syndrome which is the first case of childhood Churg Strauss syndrome in Iraq. The patient illness was misdiagnosed as tuberculosis and the use of anti-tuberculosis medication was associated with life threatening complications and the development of serious corneal opacity because of delay in receiving the appropriate therapy. It is an unnecessary and unfortunate experience for the patient to receive management that is very inappropriate in the presence of a therapeutic intervention that can induce remission of the disease. This book illustrates the difficulty and importance of the awareness to reach a diagnosis in a rare syndrome for which there is an effective therapy.