“…Eosinophilic granulomatosis with polyangiitis (EGPA) is an anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis characterized by asthma, infiltrative necrotizing vasculitis, extravascular granulomas, eosinophilia, and multi-organ infiltration[ 1 ]. Despite the association between EGPA and ANCA, only 30%-40% of patients with EGPA produce ANCAs[ 2 , 3 ]. Therefore, patients can be divided into two subtypes: ANCA-positive patients who typically experience vasculitis-related symptoms (purpura, neuropathy, pulmonary-renal syndrome), and ANCA-negative patients who are more likely to experience eosinophil-driven symptoms (pulmonary infiltrates, cardiomyopathy)[ 4 , 5 ].…”