11 results
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
eosinophilic pneumonia ... with low-grade fever ... Like in COP we see ... Chronic eosinophilic ... Chronic eosinophilic
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilic Pneumonia ... tobacco hx - Fever ... mechanical ventilation Chronic ... Eosinophilic Pneumonia ... (CEP) - F>M (2
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Diagnosis Algorithm ... Secondary Eosinophilia ... , Sarcoidosis, SLE ... , Eosinophilic pneumonia ... insufficiency, Chronic
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Approach to Eosinophilic ... Diseases • Acute Eosinophilic ... Eosinophilic Pneumonia ... , rhinitis • Eosinophilic ... BCM_InternalMed #Eosinophilic
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Methotrexate ILD Secondary ... (COP), Respiratory ... polyangiitis, Eosinophilic ... syndrome) • Eosinophilic ... , Chronic • Pulmonary
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
(COP) Cryptogenic ... • Secondary OP ... cough, dyspnea, fever ... , Chronic eosinophilia ... #COP #BOOP #pulmonary
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Non-Resolving Pneumonias ... yersinia/rats, Q fever ... - Eosinophilic ... PNA (acute or chronic ... Other Rheum (RA, SLE
COPD Management Algorithm - GOLD 2019 guidelines 

Categorize into COPD GOLD A-D -> Initiate first-line therapy
Algorithm - GOLD ... See one of my previous ... high levels of eosinophils ... who have high eosinophils ... higher risk of pneumonia
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
rarely present with eosinophilic ... • Chronic toxicity ... (e.g., chronic ... Fever 4. ... Neutrophilia • Eosinophilia
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
Chronic leukemia ... Headaches, bone pain, fever ... • (Peripheral eosinophilia ... bone marrow and secondary ... Lymphadenopathy • HSM • Fevers