Vol 68, No 4 (2010)
Chorzy trudni nietypowi
Published online: 2010-04-23
Endomyocardial disease as the first manifestation of hypereosinophilic syndrome
DOI: 10.33963/v.kp.79777
Kardiol Pol 2010;68(4):440-445.
Abstract
A case of hypereosinophilic syndrome (HES) initially manifesting as endomyocardial disease in a 21-year-old man is presented.
The diagnosis of HES was made according to the Chusid’s criteria. Myeloproliferative disorders were excluded and
corticosteroid therapy with prednisone at a dose of 1 mg/kg/d was started immediately. After 30 days of continuous corticotherapy
the patient recovered completely. His blood eosinophil count decreased from 8740 cells/μL (48.7%) to 30 cells/μL
(0.3%). Then, prednisone was discontinued gradually. During 18-month follow-up the patient was free from cardiovascular
symptoms and his complete blood count was normal. We also present the current state of knowledge on the cardiovascular
complications of hypereosinophilic syndrome.
Keywords: hypereosinophilic syndromeeosinophiliaendomyocardial disease