Jonathan Moriarty Author

Special Issue Article Open Access

Looking beyond the Obvious: A case of Idiopathic Hypereosinophilic Syndrome

Author(s):

Jonathan Moriarty

Hypereosinophilia is associated with both haematological and neurological conditions. This case seeks to highlight the differentials for two seemingly related conditions which were, in fact, independent of each other.
An 81 year old asthmatic female with chronic lower back pain, presented to the Emergency Department with a left foot drop which started 3 days earlier. She had an incidental finding of an eosinophilia of 19.9 x 10 9/L (normal 0.05-0.5 x 109/L). Significant examination findings included a power of 1/5 in all muscle groups of the left foot as well as an absent left ankle reflex. Differentials for the co-occurrence of the eosinophilia and the foot drop included Eosinophilic Granulomatosis with Polyangiitis (EGPA). However, nerve conduction studies were not in keeping w... view more»

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