Lakshman A, Nampoothiri RV, Law AD, Malhotra P, Varma SC. Hypereosinophilia in a Young Patient: Occam's Razor or Hickam's Dictum?
Indian J Hematol Blood Transfus 2016;
32:340-3. [PMID:
27408431 DOI:
10.1007/s12288-014-0487-9]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2014] [Accepted: 12/03/2014] [Indexed: 11/28/2022] Open
Abstract
Hypereosinophilia is an uncommon clinical problem encountered in hematology practice. While most of such cases are secondary or reactive, a significant fraction of cases are due to clonal myeloproliferative disorders. We report a young patient who presented with marked hypereosinophilia and was investigated extensively for its cause. Finally a common tropical infection was responsible for such marked eosinophilia fulfilling the principle of Occam's razor. The case emphasizes the need to search for treatable reactive causes even in presence of marked hypereosinophilia in a tropical country.
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