Abstract | INTRODUCTION: Clinical manifestations of hypereosinophilic syndrome (HES) are diverse. This study aimed to summarise these clinical characteristics with asthma-like onset as the first symptom, and compare these characteristics and treatment strategies between idiopathic and parasitic HES. MATERIALS AND METHODS: We retrospectively analysed 36 HES patients with asthma-like symptoms as the first episode, between January 2013 and October 2019. Data of patients with HES of an unknown cause (idiopathic HES) and parasitic infection (parasite HES) were analysed. RESULTS: The idiopathic and parasite HES groups included 16 and 20 patients, respectively, with more males in the parasite HES group (p < .05). Wheezing and dry rales was the most common symptom and signs, with no significant differences in symptoms and signs between the groups. The most often misdiagnosed disease was bronchial asthma. The peripheral blood eosinophil count was significantly increased compared with normal counts in both groups (p > .05). Abnormal pulmonary function is mainly manifested as obstructive ventilatory disorder and mixed ventilatory disorder. Chest computed tomography showed extensive ground-glass exudation, patches, consolidation, nodules, and pleural effusion. Histopathological examination showed eosinophilic infiltration without vasculitis or granuloma. Glucocorticoids had a significant therapeutic effect, and the parasite HES group required combined deworming drugs. The duration of corticosteroids therapy in the idiopathic HES group was significantly longer than that in the parasite HES group (p < .05). The overall prognosis was good, and 81.25% of the patients were clinically cured in the parasite HES group; however, relapse occurred easily in the idiopathic HES group. CONCLUSIONS:
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Authors | Xuan Wei, Xiaofeng Li, Zuyou Wei, Hui Zhang, Jiehua Deng, Suke Xing, Jianquan Zhang |
Journal | Annals of medicine
(Ann Med)
Vol. 54
Issue 1
Pg. 11-21
(Dec 2022)
ISSN: 1365-2060 [Electronic] England |
PMID | 34935570
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Asthma
(complications, diagnosis, drug therapy)
- Humans
- Hypereosinophilic Syndrome
(complications, diagnosis, drug therapy)
- Lung
- Male
- Retrospective Studies
- Tomography, X-Ray Computed
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