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An Unusual Cause Of Eosinophilia? Or much ado about nothing?
The mysterious case of Mrs H’s Malaise……… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Mysterious case of Mrs H’s Malaise…… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The mysterious case of Mrs H’s malaise….. ,[object Object],[object Object],[object Object],[object Object],[object Object],Mrs H was again fluid restricted despite previous results. Rpt osmolalities:Plasma 231, Urine 160, urinary Na 2+  <10. Definitely not SIADH!! No peripheral oedema Only other drugs aspirin, ramipril, atorvastatin TFTs & random cortisol normal Autoimmune screen negative AAFBs x 3 negative IgG 12.6   IgM 1.1 IgA 1.51  IgE  672
The Mysterious Case Of Mrs H’s Malaise….. ,[object Object],[object Object],[object Object],[object Object],. ,[object Object],[object Object]
The Mysterious Case Of Mrs H’s Malaise…… ,[object Object],CSM reports 1 case of pulmonary eosinophilia with atorvastatin, 1 case of peripheral eosinophilia with ramipril & 3 of hyponatraemia with ramipril.
Pulmonary Eosinophilia
Pulmonary Eosinophilia ,[object Object]
Poor/ Fair Months/years always >20% Severe Polyarteritis Nodosa Poor Months/years Always >20% Severe Hypereosinophilic syndrome Fair Years None >20% Moderate/ Severe Tropical Pulmonary Eosinophilia Fair Years None 5-20% Moderate/ Severe Asthmatic Bronchopulmonary Eosinophilia Good >1/12 None >20% Mild/ Moderate Prolonged Pulmonary Eosinophilia Good <1/12 None 10% Mild Simple Pulmonary Eosinophilia Outcome Duration Multi-system involve-ment Blood Eosino-phils% Symptoms Disease
Simple versus Prolonged Pulmonary Eosinophilia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthmatic Bronchopulmonary Eosinophilia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug induced Eosinophilia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hyponatraemia & SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyponatraemia & SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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An Unusual Cause Of Eosinophilia

  • 1. An Unusual Cause Of Eosinophilia? Or much ado about nothing?
  • 2.
  • 3.
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  • 5.
  • 6.
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  • 9. Poor/ Fair Months/years always >20% Severe Polyarteritis Nodosa Poor Months/years Always >20% Severe Hypereosinophilic syndrome Fair Years None >20% Moderate/ Severe Tropical Pulmonary Eosinophilia Fair Years None 5-20% Moderate/ Severe Asthmatic Bronchopulmonary Eosinophilia Good >1/12 None >20% Mild/ Moderate Prolonged Pulmonary Eosinophilia Good <1/12 None 10% Mild Simple Pulmonary Eosinophilia Outcome Duration Multi-system involve-ment Blood Eosino-phils% Symptoms Disease
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  • 12.
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