treat eosinophilic pneumonia with steroids

Treat both acute and chronic eosinophilic pneumonia with steroids. Use IV to start and then switch to oral. You should see response in CXR and eosinophilia 2 days, if not look for other diagnosis. Treatment duration is 3 months followed by 3 months taper.1

Treatment is with corticosteroids at relatively high doses (methylprednisolone 240-1,000 mg each day in divided doses has been suggested) for respiratory failure, and oral prednisone for those not acutely ill, or as acute illness resolves, with a rapid taper over a 2to 4-week period. Patients usually have a rapid and dramatic response, usually within 1 to 3 days. In contrast to CEP, relapse in AEP is rare.2

Footnotes

  1. Uworld Questionnaires ↩ ↩2

  2. SEEK Questionnaires ↩