Loefflers syndrome overview: Difference between revisions
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==Overview== | ==Overview== | ||
Loeffler syndrome is rare a form of eosinophilic pulmonary disease, which is characterized by mild respiratory symptoms such as dry cough, wheezing, dyspnea, fever, and blood-tinged sputum containing eosinophil-derived Charcot-Leyden crystals, fleeting migratory pulmonary opacities in chest x-ray, and peripheral blood eosinophilia. Parasitic infections, especially Ascaris lumbricoides, may be the cause, but an identifiable etiologic agent is not found in up to one-third of patients. Transpulmonary passage of helminth larvae is the most precise definition of Loeffler syndrome in the literature, nevertheless, there are plenty of controversial definitions under the cluster of eosinophilic pulmonary disorders. The diagnosis of Löffler syndrome is based on characteristic and often transient respiratory symptoms, chest x-ray findings, and peripheral blood eosinophilia. It requires the exclusion of other types of eosinophilic lung disease. such as acute eosinophilic pneumonia which is a distinct entity with acute onset, severe hypoxemia, and a lack of increased blood eosinophils at the onset of disease. Löffler syndrome is a self-limiting condition which is usually resolved within 3-4 weeks. | Loeffler syndrome is rare a form of eosinophilic pulmonary disease, which is characterized by mild respiratory symptoms such as dry cough, wheezing, dyspnea, fever, and blood-tinged sputum containing eosinophil-derived Charcot-Leyden crystals, fleeting migratory pulmonary opacities in chest x-ray, and peripheral blood eosinophilia. Parasitic infections, especially Ascaris lumbricoides, may be the cause, but an identifiable etiologic agent is not found in up to one-third of patients. Transpulmonary passage of helminth larvae is the most precise definition of Loeffler syndrome in the literature, nevertheless, there are plenty of controversial definitions under the cluster of eosinophilic pulmonary disorders. The diagnosis of Löffler syndrome is based on characteristic and often transient respiratory symptoms, chest x-ray findings, and peripheral blood eosinophilia. It requires the exclusion of other types of eosinophilic lung disease. such as acute eosinophilic pneumonia which is a distinct entity with acute onset, severe hypoxemia, and a lack of increased blood eosinophils at the onset of disease. Löffler syndrome is a self-limiting condition which is usually resolved within 3-4 weeks. | ||
==Loefflers syndrome historical perspective== | |||
In '''1932, Wilhelm Löffler''' drew attention to the disease in cases of [[eosinophilic pneumonia]] caused by the parasites ''[[Ascaris lumbricoides|such as Ascaris lumbricoides]]'', ''[[Strongyloides stercoralis]]'' and the [[hookworm]]s, such as ''[[Ancylostoma duodenale]]'' and ''[[Necator americanus]]''. Although Löffler only described eosinophilic pneumonia in the context of infection, many authors give the term "Löffler's syndrome" to any form of acute onset pulmonary [[eosinophilia]] no matter what the underlying cause. If the cause is unknown, it is specified and called "simple pulmonary [[eosinophilia]]". | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Revision as of 14:49, 16 May 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]
Overview
Loeffler syndrome is rare a form of eosinophilic pulmonary disease, which is characterized by mild respiratory symptoms such as dry cough, wheezing, dyspnea, fever, and blood-tinged sputum containing eosinophil-derived Charcot-Leyden crystals, fleeting migratory pulmonary opacities in chest x-ray, and peripheral blood eosinophilia. Parasitic infections, especially Ascaris lumbricoides, may be the cause, but an identifiable etiologic agent is not found in up to one-third of patients. Transpulmonary passage of helminth larvae is the most precise definition of Loeffler syndrome in the literature, nevertheless, there are plenty of controversial definitions under the cluster of eosinophilic pulmonary disorders. The diagnosis of Löffler syndrome is based on characteristic and often transient respiratory symptoms, chest x-ray findings, and peripheral blood eosinophilia. It requires the exclusion of other types of eosinophilic lung disease. such as acute eosinophilic pneumonia which is a distinct entity with acute onset, severe hypoxemia, and a lack of increased blood eosinophils at the onset of disease. Löffler syndrome is a self-limiting condition which is usually resolved within 3-4 weeks.
Loefflers syndrome historical perspective
In 1932, Wilhelm Löffler drew attention to the disease in cases of eosinophilic pneumonia caused by the parasites such as Ascaris lumbricoides, Strongyloides stercoralis and the hookworms, such as Ancylostoma duodenale and Necator americanus. Although Löffler only described eosinophilic pneumonia in the context of infection, many authors give the term "Löffler's syndrome" to any form of acute onset pulmonary eosinophilia no matter what the underlying cause. If the cause is unknown, it is specified and called "simple pulmonary eosinophilia".