Idiopathic hypereosinophilic syndrome complicated by central sinovenous thrombosis.

Abstract:

:Idiopathic hypereosinophilic syndrome (IHES) is a rare disorder affecting cardiac, pulmonary and nervous systems with peripheral neuropathy, encephalopathy and cerebral thromboembolism. We report a 7-year-old boy with IHES who developed central sinovenous thrombosis and cerebral hemorrhage. Although he had hypereosinophilia for more than 6 months, he was asymptomatic until the sudden onset of vomiting and headache due to superior sagittal sinus thrombosis. Molecular analysis in peripheral blood did not reveal any mutation in the Fip1-like-platelet-derived growth factor receptor alpha chain (FIP1L1-PDGFRA) gene which was recently reported to be mutated in IHES. Since there must be symptoms or signs of organ involvement to fulfill the IHES criteria, we could not make a diagnosis of IHES until the onset of central nervous system involvement. We suggest that anti-coagulant therapy should be considered for asymptomatic patients with hypereosinophilia because hypereosinophilia may induce thrombosis in various organs.

journal_name

Brain Dev

journal_title

Brain & development

authors

Sakuta R,Tomita Y,Ohashi M,Nagai T,Murakami N

doi

10.1016/j.braindev.2006.08.004

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

182-4

issue

3

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(06)00179-3

journal_volume

29

pub_type

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