Today’s Pulmonary Report from Dr. Smith-Nuñez featured a case of chronic eosinophilic pneumonia which she treated on pulmonary consults.
First, she provided focused differential of pulmonary eosinophilia:
When thinking about eosinophilic pneumonia, what clues do we use to distinguish acute versus chronic?
Finally, a standard treatment regimen that was used in the care of our own patient:
Takeaways:
Pulmonary eosinophilia carries a broad differential including:
- Eosinophilic PNA syndromes
- Drug reactions
- Parasitic/Helminthic infections
- ABPA
- Vasculitis
- Malignancy
Chronic eosinophilic pneumonia (CEP) is characterized by:
- >1 mo of symptoms
- Peripheral and mid-upper zone opacities
- BAL eos >25%, often + peripheral eos
Corticosteroids are mainstay of therapy, and relapses are common
Thanks, Ashley!
Tw: @dra_SmithNunez