Evaluation and Differential Diagnosis of Persistent Marked Eosinophilia

Immunol Allergy Clin North Am. 2015 Aug;35(3):387-402. doi: 10.1016/j.iac.2015.04.001. Epub 2015 Jun 23.

Abstract

Peripheral blood eosinophilia is commonly encountered in clinical practice. The causes of peripheral blood eosinophilia are varied, ranging from benign eosinophilia to malignancy. A careful history and physical examination along with directed clinical evaluation may help determine the cause. When uncontrolled, peripheral blood eosinophilia may result in end-organ damage and life-threatening complications. This article summarizes the differential diagnosis and evaluation of persistent marked eosinophilia.

Keywords: Eosinophilia; FIP1L1-PDGFRA; Hypereosinophilic syndrome; Lymphocytic hypereosinophilic syndrome (L-HES); Myeloproliferative hypereosinophilic syndrome (M-HES).

Publication types

  • Review

MeSH terms

  • Cytokines / metabolism
  • Eosinophils / cytology*
  • Humans
  • Hypereosinophilic Syndrome / diagnosis*
  • Hypereosinophilic Syndrome / etiology*
  • Hypereosinophilic Syndrome / pathology
  • Molecular Diagnostic Techniques / methods*

Substances

  • Cytokines