Testing, testing, testing: an insidious hypereosinophilia

Abstract

Aim of the study: This case focuses on the difficulty in recognizing this rare entity characterized by systemic vasculitis in patients with history of asthma. Clinical case: We report a case of a 46-year-old man with history of allergic rhinitis and referred episodes of shortness of breath recognizing as acute bronchitis who presented with fever, skin eruption, peripheral eosonophilia, muscle weakness, abdominal pain and progressively dyspnea.
Methods: Chest radiograph and computed tomography on admission showed consolidation in both lung fields and pericardial effusion. P-serum ANCA were positive. Neurological examination revealed mononeuritis multiplex. A skin biopsy was performed with presence of eosinophil granulocytes. The condition did not respond to antibiotics. He was supposed to have vasculitis and steroid treatment was started at a dose of 1 mg/kg; eosinophilia decreased but there was no clinical improvement. Abdominal pains were progressively more severe; emergency laparotomy revealed ileum infiammation, histopathological examination was consistent with Churg-Strauss syndrome.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2013-04-30
Info
Issue
Section
Case Reports
Keywords:
Eosinophilia, Abdominal pain, Vasculitis.
Statistics
  • Abstract views: 791

  • PDF: 913
How to Cite
Robbiolo, L., Carbone, A., Favales, F., Spelta, B., & Colombo, F. (2013). Testing, testing, testing: an insidious hypereosinophilia. Italian Journal of Medicine, 3(3), 163-165. https://doi.org/10.4081/itjm.2009.163

Most read articles by the same author(s)