This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
Which of the following is not true about Churg Strauss Syndrome 
Select and explain. 
A. Asthma, B. Peripheral eosinophilia, C. Vasculitis of multiple organ systems, D. Intravascular Granulomas
D: Intravascular Granulomas
Answer: D: Intravascular Granulomas 
Explanation: 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 '- Harrison's 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.