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
Chestjournal_title
Chestauthors
Slabbynck H,Impens N,Naegels S,Dewaele M,Schandevyl Wdoi
10.1378/chest.101.4.1178subject
Has Abstractpub_date
1992-04-01 00:00:00pages
1178-80issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(16)32762-3journal_volume
101pub_type
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