Idiopathic Hypereosinophilic Syndrome-Related Pulmonary Involvement Diagnosed

Autor: Slabbynck, H., Impens, N., Naegels, S., De Waele, Marc, Schandevyl, Wouter
Přispěvatelé: Internal Medicine Specializations, Immunology and Microbiology
Jazyk: angličtina
Rok vydání: 1992
Předmět:
Popis: Patients with HES and pulmonary infiltrates may pose certain diagnostic problems as the infiltrates may be attributed to infection, infarction, congestive heart failure, or HES itself. We report an 87-year-old woman with idiopathic HES presenting with bibasal alveolar infiltrates. Differential cell count in BAL fluid yielded a very high percentage (73 percent) of eosinophils. Other authors previously mentioned the absence of eosinophils in the lavage fluid despite an important peripheral eosinophilia in a patient with the idiopathic HES but without HES-related pulmonary involvement. Thus, BAL fluid eosinophilia may suggest HES-related pulmonary involvement. Therefore, BAL might be an important diagnostic tool in the management of pulmonary infiltrates in idiopathic HES.
Databáze: OpenAIRE