Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more common diagnoses
Acute Eosinophilic Pneumonia (AEP)
- M>F, Younger (20-40 yo), >40% tobacco hx
- Fever+, Cough+, Dyspnea+, Pleuritic Chest Pain
- Diffuse Ground Glass +/- Effusions
- Rare Peripheral Eosinophilia
- Steroid Responsive, ~2/3 still need mechanical ventilation
Chronic Eosinophilic Pneumonia (CEP)
- F>M (2:1) 30-50 yo, <10% tobacco hx, >60% asthma hx
- Progressive SOB + Cough + Constitutional Symptoms
- Peripheral Consolidations AKA "inverse pulmonary edema"
- Common Peripheral Eosinophilia (~90% with >6% eos)
- Steroid Responsive. Commonly relapses, requiring prolonged taper. Rarely requires mechanical ventilation
Dr. Laura McNamara @mcnamara_lc - iMED @iMedEducation
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