Open AccessAcute Myocardial Injury in a 45‐year‐old Female: Hypereosinophilic Syndrome
Author(s) -
Lin WC,
Weng YM,
Chan YL,
Chang H,
Huang SL,
Chen SY
Publication year - 2013
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791302000111
Subject(s) - medicine , hypereosinophilic syndrome , eosinophilia , emergency department , context (archaeology) , differential diagnosis , weakness , chest pain , surgery , pathology , paleontology , psychiatry , biology
Hypereosinophilic syndrome (HES) can cause eosinophilic infiltration in multiple organ systems resulting in organ damage. Among all, cardiac involvement is the major cause of morbidity and mortality. Early diagnosis and prompt treatment are important to improve the prognosis. We reported a 45‐year‐old woman with a history of eosinophilia presented with chest pain in our emergency department. Laboratory tests revealed marked eosinophilia and elevated cardiac markers. A neurological event, presenting as right‐side limb weakness, supervened later. The diagnosis of HES was established, and prompt treatment with corticosteroids, hydroxyurea, and imatinib resolved the eosinophilia; further cardiac and neurological injury was thus prevented. This case reminds us to consider and, if applicable, to provide the appropriate management for HES in the context of making a differential diagnosis in clinical situations involving organ damage.