Hypereosinophilic syndrome: Difference between revisions

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== Background ==
== Background ==


*Idiopathic eosinophilia persisting for more than 6 months without identifiable cause
*Idiopathic [[eosinophilia]] persisting for more than 6 months without identifiable cause


===Pathophysiology===
===Pathophysiology===

Latest revision as of 17:25, 5 May 2025

Background

  • Idiopathic eosinophilia persisting for more than 6 months without identifiable cause

Pathophysiology

  • Mutation in PDGFRA and FIP1L1 in some cases, causes a tyrosine kinase mutation

Clinical Manifestations

  • Eosinophilia with cardiomyopathy, skin lesions, thromboembolism, pulmonary disease, neuropathy, hepatosplenomegaly, reduced ventricular size, and eczema

Differential Diagnosis

Diagnosis

  • Molecular testing for PDGFRA and FIP1L1

Management

  • Steroids
  • +/- mepolizumab for steroid-sparing
  • +/- imatinib if PDGFRA/FIPL1 positive

Prognosis

  • Progressive and fatal