Table 1.
Patient # | Eosinophilia Diagnosis | Presentation |
Follow-Up |
|||||||
---|---|---|---|---|---|---|---|---|---|---|
Symptoms/Diagnosis | Imaging | Active Inflammation | Histology | Steroid Treatment | Other Therapies | Imaging | Steroid Dependence | Cardiac-Related Readmissions | ||
1 | HES | Transient amnesia, CVA, moderate pericardial effusion with early tamponade | TTE LVEF 35%-40%; CMR LVEF 31% |
Yes | Eosinophils on myocardial, bone marrow, and pleural fluid samples | 60 mg prednisone followed by taper | 300 mg mepolizumab monthly | TTE LVEF At rest 45%-50%, stress 60%-65% | No | 0 |
2 | EGPA | Chest pain, myopericarditis | CMR LVEF 50% | Yes | None | None | Colchicine, 300 mg mepolizumab monthly | TTE LVEF 50%-55% | No | 0 |
3 | HES | Basal ganglia IPH | TTE LVEF 45%-50% | Unknown | None | 40 mg prednisone daily for 14 days then every other day | 300 mg mepolizumab monthly | TTE LVEF 40%-45% | Yes, at reduced dose | 0 |
CMR = cardiac magnetic resonance imaging; CVA = cerebrovascular accident; EGPA = eosinophilic granulomatosis with polyangiitis; LVEF = left ventricular ejection fraction; HES = hypereosinophilic syndrome; IPH = intraparenchymal hemorrhage; TTE = transthoracic echocardiography.