acute and chronic eosinophilic pneumonia AEP and CEP
- related: Pulmonology
- tags: #literature
Demographics and pathogenesis
Diagnosis
- diagnostic algorithm for eosinophilic pneumonia
- acute eosinophilic pneumonia diagnosis include eosinophils on BAL, pulmonary infiltrate, febrile illness
- chronic eosinophilic pneumonia has more progressive onset and systemic symptoms
- eosinophilic pneumonia lung biopsy shows eosinophils, giant cells, bronchiolitis obliterans
Imaging
- acute eosinophilic pneumonia has ground glass opacitiees with consolidation on CT imaging
- chronic eosinophilic pneumonia has consolidation with peripheral predominance
Treatment
Links to this note
- Pulmonology
- eosinophilia and lung disorders
- If a patient has recurrent hospitalizations for pneumonia, differential should include eosinophilic pneumonia (acute and chronic eosinophilic pneumonia AEP and CEP). Fever, cough, and abnormal chest xray are first clues. diagnostic algorithm for eosinophilic pneumonia.
- eosinophilic BAL points to atypical infections and atopic conditions
- eosinophil > 25% is diagnostic of acute and chronic eosinophilic pneumonia AEP and CEP
- acute eosinophilic pneumonia has ground glass opacitiees with consolidation on CT imaging
- chronic eosinophilic pneumonia has consolidation with peripheral predominance
- pulmonary eosinophilia differential diagnosis
- diagnostic algorithm for eosinophilic pneumonia
- acute eosinophilic pneumonia can present after unusual or unique exposures
- acute eosinophilic pneumonia diagnosis include eosinophils on BAL, pulmonary infiltrate, febrile illness
- chronic eosinophilic pneumonia has more progressive onset and systemic symptoms
- eosinophilic pneumonia lung biopsy shows eosinophils, giant cells, bronchiolitis obliterans
- treat eosinophilic pneumonia with steroids