Idiopathic hypereosinophilic syndrome in children: 3 cases with review of literature

Jayashree Kanthila, Nalini Bhaskaranand

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Objectives: To highlight the varied clinical manifestations and management of idiopathic hypereosinophilic syndrome, a rare disorder in children. Methods: Retrospective review of case records of 3 patients who were diagnosed to have idiopathic hypereosinophilic syndrome (IHES) in a tertiary referral centre between 1997 and 2010 was performed. These 3 children presented with different symptoms and the first case had cardiac involvement. All had very high absolute eosinophil count (cells/mm3) 43,206, 9,082, 2,925, respectively. Diagnosis was confirmed by bone marrow biopsy in all three cases and supported by liver biopsy in the first two cases and inguinal lymphnode biopsy in the last case. All 3 children responded to treatment with steroids, with only second patient requiring hydroxyurea to control disease. Results: Case 1 and 2 are on follow up for 13 y and 10 y respectively and both are asymptomatic. Case 3 expired due to sepsis 1 mo after diagnosis. Conclusions: Treatment with steroids with or without hydroxyurea gave good response in all 3 cases. Hence, they still remain the gold standard for the treatment of IHES in children.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalIndian Journal of Pediatrics
Volume80
Issue number2
DOIs
Publication statusPublished - 01-02-2013
Externally publishedYes

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Hypereosinophilic Syndrome
Hydroxyurea
Biopsy
Steroids
Groin
Eosinophils
Tertiary Care Centers
Sepsis
Therapeutics
Cell Count
Bone Marrow
Liver

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Kanthila, Jayashree ; Bhaskaranand, Nalini. / Idiopathic hypereosinophilic syndrome in children : 3 cases with review of literature. In: Indian Journal of Pediatrics. 2013 ; Vol. 80, No. 2. pp. 124-127.
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Idiopathic hypereosinophilic syndrome in children : 3 cases with review of literature. / Kanthila, Jayashree; Bhaskaranand, Nalini.

In: Indian Journal of Pediatrics, Vol. 80, No. 2, 01.02.2013, p. 124-127.

Research output: Contribution to journalReview article

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AB - Objectives: To highlight the varied clinical manifestations and management of idiopathic hypereosinophilic syndrome, a rare disorder in children. Methods: Retrospective review of case records of 3 patients who were diagnosed to have idiopathic hypereosinophilic syndrome (IHES) in a tertiary referral centre between 1997 and 2010 was performed. These 3 children presented with different symptoms and the first case had cardiac involvement. All had very high absolute eosinophil count (cells/mm3) 43,206, 9,082, 2,925, respectively. Diagnosis was confirmed by bone marrow biopsy in all three cases and supported by liver biopsy in the first two cases and inguinal lymphnode biopsy in the last case. All 3 children responded to treatment with steroids, with only second patient requiring hydroxyurea to control disease. Results: Case 1 and 2 are on follow up for 13 y and 10 y respectively and both are asymptomatic. Case 3 expired due to sepsis 1 mo after diagnosis. Conclusions: Treatment with steroids with or without hydroxyurea gave good response in all 3 cases. Hence, they still remain the gold standard for the treatment of IHES in children.

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