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Simple pulmonary eosinophilia

Contents of this page:

Illustrations

Lungs
Lungs
Respiratory system
Respiratory system

Alternative Names    Return to top

Pulmonary infiltrates with eosinophilia; Loeffler syndrome

Definition    Return to top

Simple pulmonary eosinophilia is inflammation of the lungs associated with an increase in eosinophils, a type of white blood cell.

Causes    Return to top

Most cases of simple pulmonary eosinophilia are due to an allergic reaction, either from a drug, such as sulfonamide, or infection with a fungus or parasite, including Ascaris lumbricoides.

Symptoms    Return to top

The symptoms can range from none at all to severe. They may go away without treatment.

Exams and Tests    Return to top

The health care provider will listen to your chest with a stethoscope. Crackle-like sounds called rales may be heard. Rales suggest inflammation of the lung tissue.

A blood count test shows increased white blood cells, particularly eosinophils.

Chest x-ray usually shows abnormal shadows called infiltrates. They may disappear with time or reappear in different areas of the lung.

A bronchoscopy with washing may show a large number of eosinophils.

Gastric lavage may show signs of the ascaris worm.

Treatment    Return to top

If you are allergic to a drug, the doctor may have you stop taking it. (But, never stop a medication without consulting with your doctor first.)

If the condition is due to an infection, you may be treated with an antibiotic or anti-parasitic medication.

Sometime, corticosteroids (powerful anti-inflammatory medicines) may be needed.

Outlook (Prognosis)    Return to top

The disease often goes away without treatment. If treatment is needed, the response is usually good. However, relapses can occur (the disease comes back).

Possible Complications    Return to top

A rare complication of simple pulmonary eosinophilia is a severe type of pneumonia called acute idiopathic eosinophilic pneumonia.

When to Contact a Medical Professional    Return to top

See your health care provider if you have symptoms that may be linked with this disorder.

Prevention    Return to top

This is a rare disorder. Many times, the cause cannot be found. Minimizing exposure to possible risk factors (certain medicines, some metals) may reduce risk.

References    Return to top

Mason RJ, Murray J, VC Broaddus, Nadel J. Textbook of Respiratory Medicine. 3rd ed. Philadelphia, Pa: WB Saunders; 2005:1679-1695.

Grainger RC, Allison D, Adam, Dixon AK. Diagnostic Radiology: A Textbook of Medical Imaging. 4th ed. Orlando, Fl: Churchill Livingstone; 2001:600,895.

Update Date: 4/16/2009

Updated by: David A. Kaufman, MD, Section Chief, Pulmonary, Critical Care & Sleep Medicine, Bridgeport Hospital-Yale New Haven Health System, and Assistant Clinical Professor, Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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