Idiopathic hypereosinophilic syndrome presenting with stroke

被引:0
|
作者
Singla, Neeraj [1 ]
Prabhakar, Anuj [2 ]
Pradhan, Nupur [3 ]
Sreedharanunni, Sreejesh [4 ]
Sachdeva, Manupdesh Singh [4 ]
Kohli, Harbir Singh [5 ]
Gupta, Kirti [6 ]
机构
[1] Postgrad Inst Med Educ & Res PGIMER, Dept Internal Med, Chandigarh, India
[2] Postgrad Inst Med Educ & Res PGIMER, Dept Radiol, Chandigarh, India
[3] Postgrad Inst Med Educ & Res PGIMER, Dept Pathol, Chandigarh, India
[4] Postgrad Inst Med Educ & Res PGIMER, Dept Hematol, Chandigarh, India
[5] Postgrad Inst Med Educ & Res PGIMER, Dept Nephrol, Chandigarh, India
[6] Postgrad Inst Med Educ & Res PGIMER, Dept Histopathol, Sect 12, Chandigarh 160012, India
关键词
hypereosinophilic; syndrome; stroke; cerebral infarction; CEREBRAL INFARCTS; EOSINOPHILIA; PATIENT;
D O I
10.5414/NP301613
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Hypereosinophilic syndrome (HES) is characterized by eosinophilia associated with organ damage. The disorder has substantial clinical heterogeneity and a highly variable prognosis. This report describes an interesting autopsy case of a 62 -year -old lady presenting with itching and stroke -like symptoms. She was diagnosed with an "idiopathic" variant of HES after a thorough exclusion of all known causes. Despite adequate measures, she deteriorated rapidly. At autopsy, acute cerebral infarcts were identified in multiple vascular territories including infarcts in watershed areas. Additionally, her heart showed classic pathological features of eosinophilic myocarditis spanning all three stages.
引用
收藏
页码:92 / 97
页数:6
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