Idiopathic hypereosinophilic syndrome-related pulmonary involvement diagnosed by bronchoalveolar lavage.

Abstract:

: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.

journal_name

Chest

journal_title

Chest

authors

Slabbynck H,Impens N,Naegels S,Dewaele M,Schandevyl W

doi

10.1378/chest.101.4.1178

subject

Has Abstract

pub_date

1992-04-01 00:00:00

pages

1178-80

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)32762-3

journal_volume

101

pub_type

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