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Eosinophilic Pneumonias

Noah L. Furr, MD and Erik R. Clauson, DO Reviewed 06/2019
 


BASICS

DESCRIPTION

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

  • Primary and secondary...

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 as an outpatient; more severe cases require inpatient care.

  • Evaluate...

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.

  • Smo...

REFERENCES

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

ADDITIONAL READING

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

  • Suzuki Y, Suda T. Lo...

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 rare.

  • Classified as either primary or secondary, acute or chronic

  • Bronchoscopy with bronchoalveolar lavage aids diagnosis.

  • Corticosteroid therapy is effective.

  • ...

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