Tricuspid Valve Surgery in Patients With Idiopathic Hypereosinophilic Syndrome

Bešík, Josef; Szárszoi, Ondřej; Netuka, Ivan; Voska, Luděk; Pirk, Jan

doi:10.1111/jocs.12483

Cited by 2 publications

(1 citation statement)

References 20 publications

(58 reference statements)

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“…Selvi et al reported a case where montelukast and ketotifen provided significant relief from HES-related arthritis and rash 12. In rare instances, splenic or cardiac surgery may also be performed to improve organ function after proper evaluation 37. In this review, the treatment of skin lesions was mainly focused on oral or topical steroids and PUVA therapy in addition to other immunosuppressive agents.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic hypereosinophilic syndrome with cutaneous involvement: a comparative review of 32 cases

Inayat¹,

O’Neill

Zafar

et al. 2018

BMJ Case Rep

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Although idiopathic hypereosinophilic syndrome (HES) is uncommon, we studied the clinical characteristics of this disorder in patients with cutaneous involvement. We chronicle the case of a patient with diffuse skin rash due to idiopathic HES from our clinical experience. Furthermore, a systematic literature search of the medical databases PubMed and Google Scholar was conducted. A total of 32 cases fulfilled the inclusion criteria. The data on patients’ characteristics, epidemiology, clinical features, diagnosis, treatment and outcome were collected and analysed. This review illustrates that physicians should maintain a high index of clinical suspicion for idiopathic HES in patients presenting with dermatological lesions and hypereosinophilia, without an obvious cause. Randomised clinical trials are warranted to outline a generalised and efficient therapeutic approach in these patients. Additionally, this paper highlights the need for population-based studies to delineate the magnitude and scope of this association.

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Section: Discussionmentioning

confidence: 99%

Idiopathic hypereosinophilic syndrome with cutaneous involvement: a comparative review of 32 cases

Inayat¹,

O’Neill

Zafar

et al. 2018

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

Hypereosinophilic cardiac disease

et al. 2017

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Hypereosinophilia may be due to several aetiologies. Cardiac complications are not uncommon, whatever the causes. Clinical presentations of hypereosinophilic cardiac diseases may vary widely from asymptomatic form to fatal necrotic myocarditis or irreversible restrictive cardiomyopathy. As a major cause of morbidity and mortality, diagnosis of cardiac involvement is crucial. Until recently the diagnosis was exclusively based on cardiac biopsy. Nowadays, multimodal cardiac imaging, including echocardiography and cardiac magnetic resonance imaging, is the cornerstone of the diagnosis. Cardiac magnetic resonance imaging has emerged as a very useful tool for the diagnosis allowing precise tissue characterization. It has even been proposed as a surrogate to cardiac biopsy. It should be systematically performed in case of hypereosinophilia. Early and appropriate treatment is crucial to avoid the evolution toward irreversible cardiac lesions. These treatments are symptomatic but should also be adapted to the underlying diseases.

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Tricuspid Valve Surgery in Patients With Idiopathic Hypereosinophilic Syndrome

Abstract: A 53-year-old female with idiopathic hypereosinophilic syndrome underwent recurrent tricuspid valve replacement for Löffler's endocarditis. We review the literature on tricuspid valve surgery in patients with this uncommon disorder.

Cited by 2 publications

References 20 publications

Idiopathic hypereosinophilic syndrome with cutaneous involvement: a comparative review of 32 cases

Idiopathic hypereosinophilic syndrome with cutaneous involvement: a comparative review of 32 cases

Hypereosinophilic cardiac disease

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