Eosinophilic pneumonia history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Priyamvada Singh, M.D. [2]
Overview
History
- Chronic eosinophilia affects patients in their 30s or 40s. [5-7]
- A history of atopy is found in 60 percent. [8]
Symptoms
- IAEP is characterized by acute onset of dyspnea (100% of patients)
- Fever that is usually moderate (100%
- cough (80%–100%)
- pleuritic thoracic pain (50%–70%)
- myalgias (30%–50%
- abdominal complaints (25%)46,50–52,54,64–72
- Acute onset is an important criterion for the diagnosis of IAEP, with a delay between the first symptoms and hospital admission of less than 1 month and usually less than 7 days.50,51
- Acute respiratory failure is frequent,53 often meeting criteria for acute respiratory distress syndrome,73 and admission to the intensive care unit and mechanical ventilation
- irritating, nonproductive cough
- burning substernal discomfort.
- Dyspnea
- wheezing
- fever
- blood-tinged sputum