Hypereosinophilic syndrome: Difference between revisions

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[[File:Activated_Eosinophils_in_Idiopathic_Hypereosinophilic_Syndrome_(9125007255).jpg|Activated Eosinophils in Idiopathic Hypereosinophilic Syndrome (9125007255)|thumb]] '''Hypereosinophilic syndrome''' ('''HES''') is a group of rare blood disorders characterized by the overproduction of [[eosinophils]], a type of white blood cell. This condition can lead to damage in various organs and tissues due to the accumulation of eosinophils. HES is typically diagnosed when a patient has a persistently high eosinophil count (greater than 1,500 eosinophils per microliter of blood) for more than six months without a known cause.
{{SI}}
 
{{Infobox medical condition
| name          = Hypereosinophilic syndrome
| image          = [[File:Activated_Eosinophils_in_Idiopathic_Hypereosinophilic_Syndrome_(9125007255).jpg|250px]]
| caption        = Activated eosinophils in idiopathic hypereosinophilic syndrome
| field          = [[Hematology]]
| symptoms      = [[Fatigue]], [[cough]], [[dyspnea]], [[rash]], [[fever]], [[weight loss]]
| complications  = [[Heart failure]], [[thromboembolism]], [[neuropathy]], [[organ damage]]
| onset          = Typically in [[adulthood]]
| duration      = [[Chronic (medicine)|Chronic]]
| causes        = Often [[idiopathic]], can be associated with [[genetic mutations]]
| risks          = [[Male]] gender, [[age]]
| diagnosis      = [[Blood test]], [[bone marrow biopsy]], [[imaging studies]]
| differential  = [[Eosinophilia]], [[Churg-Strauss syndrome]], [[parasitic infections]]
| treatment      = [[Corticosteroids]], [[imatinib]], [[interferon-alpha]], [[hydroxyurea]]
| prognosis      = Variable, depends on response to treatment
| frequency      = Rare
}}
'''Hypereosinophilic syndrome''' ('''HES''') is a group of rare blood disorders characterized by the overproduction of [[eosinophils]], a type of white blood cell. This condition can lead to damage in various organs and tissues due to the accumulation of eosinophils. HES is typically diagnosed when a patient has a persistently high eosinophil count (greater than 1,500 eosinophils per microliter of blood) for more than six months without a known cause.
==Classification==
==Classification==
HES can be classified into several subtypes based on the underlying cause and clinical presentation:
HES can be classified into several subtypes based on the underlying cause and clinical presentation:
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* '''Lymphocytic HES''' - associated with abnormal [[T cells]] that produce eosinophil-stimulating factors.
* '''Lymphocytic HES''' - associated with abnormal [[T cells]] that produce eosinophil-stimulating factors.
* '''Idiopathic HES''' - where no specific cause can be identified.
* '''Idiopathic HES''' - where no specific cause can be identified.
==Symptoms==
==Symptoms==
The symptoms of HES can vary widely depending on the organs affected. Common symptoms include:
The symptoms of HES can vary widely depending on the organs affected. Common symptoms include:
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* [[Muscle pain]]
* [[Muscle pain]]
* [[Weight loss]]
* [[Weight loss]]
==Diagnosis==
==Diagnosis==
The diagnosis of HES involves several steps:
The diagnosis of HES involves several steps:
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* Genetic testing to identify mutations such as the FIP1L1-PDGFRA fusion gene.
* Genetic testing to identify mutations such as the FIP1L1-PDGFRA fusion gene.
* Imaging studies (e.g., [[CT scan]], [[MRI]]) to assess organ involvement.
* Imaging studies (e.g., [[CT scan]], [[MRI]]) to assess organ involvement.
==Treatment==
==Treatment==
Treatment for HES aims to reduce eosinophil levels and prevent organ damage. Common treatments include:
Treatment for HES aims to reduce eosinophil levels and prevent organ damage. Common treatments include:
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* [[Immunosuppressive drugs]] - to control the immune system.
* [[Immunosuppressive drugs]] - to control the immune system.
* [[Interferon-alpha]] - to modulate the immune response.
* [[Interferon-alpha]] - to modulate the immune response.
==Prognosis==
==Prognosis==
The prognosis for HES varies depending on the subtype and response to treatment. Early diagnosis and appropriate therapy can improve outcomes and reduce the risk of complications.
The prognosis for HES varies depending on the subtype and response to treatment. Early diagnosis and appropriate therapy can improve outcomes and reduce the risk of complications.
 
==See also==
==Related Pages==
* [[Eosinophilia]]
* [[Eosinophilia]]
* [[Myeloproliferative neoplasms]]
* [[Myeloproliferative neoplasms]]
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* [[Systemic mastocytosis]]
* [[Systemic mastocytosis]]
* [[Autoimmune diseases]]
* [[Autoimmune diseases]]
==Categories==
==Categories==
[[Category:Hematology]]
[[Category:Hematology]]
[[Category:Rare diseases]]
[[Category:Rare diseases]]
[[Category:Immune system disorders]]
[[Category:Immune system disorders]]
{{medicine-stub}}
{{medicine-stub}}

Latest revision as of 03:43, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Hypereosinophilic syndrome
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Fatigue, cough, dyspnea, rash, fever, weight loss
Complications Heart failure, thromboembolism, neuropathy, organ damage
Onset Typically in adulthood
Duration Chronic
Types N/A
Causes Often idiopathic, can be associated with genetic mutations
Risks Male gender, age
Diagnosis Blood test, bone marrow biopsy, imaging studies
Differential diagnosis Eosinophilia, Churg-Strauss syndrome, parasitic infections
Prevention N/A
Treatment Corticosteroids, imatinib, interferon-alpha, hydroxyurea
Medication N/A
Prognosis Variable, depends on response to treatment
Frequency Rare
Deaths N/A


Hypereosinophilic syndrome (HES) is a group of rare blood disorders characterized by the overproduction of eosinophils, a type of white blood cell. This condition can lead to damage in various organs and tissues due to the accumulation of eosinophils. HES is typically diagnosed when a patient has a persistently high eosinophil count (greater than 1,500 eosinophils per microliter of blood) for more than six months without a known cause.

Classification[edit]

HES can be classified into several subtypes based on the underlying cause and clinical presentation:

  • Myeloproliferative HES - associated with genetic mutations such as the FIP1L1-PDGFRA fusion gene.
  • Lymphocytic HES - associated with abnormal T cells that produce eosinophil-stimulating factors.
  • Idiopathic HES - where no specific cause can be identified.

Symptoms[edit]

The symptoms of HES can vary widely depending on the organs affected. Common symptoms include:

Diagnosis[edit]

The diagnosis of HES involves several steps:

  • Complete blood count (CBC) to measure eosinophil levels.
  • Bone marrow biopsy to examine the production of eosinophils.
  • Genetic testing to identify mutations such as the FIP1L1-PDGFRA fusion gene.
  • Imaging studies (e.g., CT scan, MRI) to assess organ involvement.

Treatment[edit]

Treatment for HES aims to reduce eosinophil levels and prevent organ damage. Common treatments include:

Prognosis[edit]

The prognosis for HES varies depending on the subtype and response to treatment. Early diagnosis and appropriate therapy can improve outcomes and reduce the risk of complications.

See also[edit]

Categories[edit]

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