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Eosinophilic Pneumonias

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Eosinophilic pneumonias (pulmonary eosinophilia) are a heterogenous group of diseases with a similar clinical syndrome and overlapping findings on imaging.

  • Primary and secondary cause...

DIAGNOSIS

  • Symptoms range from mild and insidious to acute and life-threatening; requires a strong index of suspicion

  • AEP: abrupt onset in 7 days and <1 month in duration, bilateral diffuse infiltrat...

TREATMENT

Condition can either progress to respiratory failure or resolve spontaneously. 

GENERAL MEASURES

  • Milder cases can be managed outpatient, whereas more severe cases may require inpatient care.

  • Ev...

ONGOING CARE

DIET

High-calorie, high-protein, soft diet 

PATIENT EDUCATION

  • Provide information about activity, diet, and symptoms of recurrence and advise patient to avoid exposure to offending agent, if...

REFERENCES

1
Fernández Pérez ER, Olson AL, Frankel SK. Eosinophilic lung diseases. Med Clin North Am.  2011;95(6):1163–1187. {L-End} [View Abstract on OvidMedline]
2
Groh M, Pagnoux C, Baldini C, e...

ADDITIONAL READING

  • Dulohery MM, Patel RR, Schneider F, et al. Lung involvement in hypereosinophilic syndromes. Respir Med.  2011;105(1):114–121.

  • Suzuki Y, Suda T. Long-term management and persiste...

SEE ALSO

Aspergillosis; Roundworms, Tissue; Tuberculosis; Wegener Granulomatosis 

CODES

ICD10

J82 Pulmonary eosinophilia, not elsewhere classified 

ICD9

518.3 Pulmonary eosinophilia 

SNOMED

  • 367542003 Pulmonary eosinophilia (disorder)

  • 64936001 lffler's syndrome (disorder)

  • 233691007 Asthmat...

CLINICAL PEARLS

  • Eosinophilic pneumonias are very rare disorders.

  • They are classified as either acute or chronic and can be either idiopathic or secondary to other causes.

  • Bronchoscopy with bronchoalveol...

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