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Idiopathic hypereosinophilic syndrome presenting with multiple organ damage: A case report
Peng Wu1, Yuanguo Chen, Haibo Zhang
1Department of Cardiology, The People's Hospital of Ya'an, Sichuan, China.
Rationale:
Idiopathic hypereosinophilic syndrome (IHES) is a rare disease in which patients which present with eosinophilia-associated damage. Previous studies focused on organ damage from increased eosinophilic granulocytosis. We report IHES in a patient who presented with multiple organ damage (MOD).
Patient Concerns:
A 52-year-old male presented with MOD, including myocardial damage suggestive of myocardial infarction, cardiac tamponade, respiratory failure, skin damage, and gastrointestinal damage.
Diagnoses:
The absolute eosinophil count was 12,920/mm, much higher than occurs in other diseases associated with eosinophilia (1500/mm), and suggesting a diagnosis of IHES.
Interventions:
Prednisone combined with hydroxyurea.
Outcomes:
At 6 months after completion of drug treatment, the patient had no chest pain or dyspnea, and the results of a blood panel, chest computed tomography, and gastroscopy were normal.
Lessons:
MOD is very rare in patients with IHES. Patients receiving prompt diagnosis and treatment have very good prognoses.
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