Testing, testing, testing: an insidious hypereosinophilia
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 recognizi...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
PAGEPress Publications
2013-04-01
|
Series: | Italian Journal of Medicine |
Subjects: | |
Online Access: | http://www.italjmed.org/index.php/ijm/article/view/272 |
id |
doaj-b368dc66f5a34792b19ccb1c626b0e76 |
---|---|
record_format |
Article |
spelling |
doaj-b368dc66f5a34792b19ccb1c626b0e762020-11-25T03:48:42ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522013-04-013316316510.4081/itjm.2009.163226Testing, testing, testing: an insidious hypereosinophiliaLivia RobbioloAnnalisa CarboneFabrizio FavalesBarbara SpeltaFabrizio ColomboAim 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. <br />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.http://www.italjmed.org/index.php/ijm/article/view/272EosinophiliaAbdominal painVasculitis. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Livia Robbiolo Annalisa Carbone Fabrizio Favales Barbara Spelta Fabrizio Colombo |
spellingShingle |
Livia Robbiolo Annalisa Carbone Fabrizio Favales Barbara Spelta Fabrizio Colombo Testing, testing, testing: an insidious hypereosinophilia Italian Journal of Medicine Eosinophilia Abdominal pain Vasculitis. |
author_facet |
Livia Robbiolo Annalisa Carbone Fabrizio Favales Barbara Spelta Fabrizio Colombo |
author_sort |
Livia Robbiolo |
title |
Testing, testing, testing: an insidious hypereosinophilia |
title_short |
Testing, testing, testing: an insidious hypereosinophilia |
title_full |
Testing, testing, testing: an insidious hypereosinophilia |
title_fullStr |
Testing, testing, testing: an insidious hypereosinophilia |
title_full_unstemmed |
Testing, testing, testing: an insidious hypereosinophilia |
title_sort |
testing, testing, testing: an insidious hypereosinophilia |
publisher |
PAGEPress Publications |
series |
Italian Journal of Medicine |
issn |
1877-9344 1877-9352 |
publishDate |
2013-04-01 |
description |
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. <br />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. |
topic |
Eosinophilia Abdominal pain Vasculitis. |
url |
http://www.italjmed.org/index.php/ijm/article/view/272 |
work_keys_str_mv |
AT liviarobbiolo testingtestingtestinganinsidioushypereosinophilia AT annalisacarbone testingtestingtestinganinsidioushypereosinophilia AT fabriziofavales testingtestingtestinganinsidioushypereosinophilia AT barbaraspelta testingtestingtestinganinsidioushypereosinophilia AT fabriziocolombo testingtestingtestinganinsidioushypereosinophilia |
_version_ |
1724497604692148224 |