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. 2024 Mar 21;8:18–25. doi: 10.5414/ALX02475E

Table 1. Diseases involving the respiratory tract and hypereosinophilia [1].

Adult-onset eCRSwNP EGPA N-ERD Adult-onset asthma ABPA
Prevalence (asthma/CRS patients) 3 – 10% 0.6% 5 – 10% 21 – 48% 2.5%
M : W 2 : 1 1 : 2 1 : 2 2 : 3 1 : 1
Appearance at the age of... 30 – 50 56 35 – 36 30 – 46 25 – 55
   under 12 Rare Rare Rare n.a. Rare
   over 60 Rare Possible Rare Possible Possible
Clinical peculiarity Nasal polyps, loss of smell Systemic vasculitis, granulomatosis Salicylate intolerance Rapid decrease in LuFu Mucus plugs (bronchial tubes)
Biomarkers
   Blood-Eo ↑↑↑ ↑↑ ↑↑↑
   Serum IgE (IU/mL) Variable 100 – 300 Variable Variable 1,000 – 10,000
   FeNO
   Serum periostin ↑→ ↑↑
   U LTE4 ↑↑ ↑↑↑
   EETs/EETosis ++Lumen/tissue Possible ++Lumen/tissue ++Lumen
   Charcot-Leyden crystals ++Lumen/tissue Possible ++Lumen/tissue ++Lumen
   Other CST-1, eotaxin-3, IgG4 ANCA, eotaxin-3, lösIL-2R Mast cell/
tile marker
Reversibility in LuFu for diagnosis
Response to biologics
anti-IgE + + + + +
anti-IL-5(R) ++ ++ + ++ ++
anti-IL-4R ++ ++ ++
anti-TSLP (+) ++

eCRSwNP = eosinophilic chronic rhinosinusitis with nasal polyps; EGPA = eosinophilic polyangiitis with granulomatosis; N-ERD = non-steroidal-exacerbated respiratory disease; ABPA = allergic bronchopulmonary aspergillosis; LuFu = lung function test; FeNO = fractional expiratory NO; leukotriene E4 = LTE4; EETs/EETosis = extracellular eosinophil traps; ANCA = antineutrophil cytoplasmic antibody.