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Eosinophil-Associated Disorders, An Issue of Immunology and Allergy Clinics of North America, E-Book

Eosinophil-Associated Disorders, An Issue of Immunology and Allergy Clinics of North America, E-Book

Amy D. Klion

(2015)

Additional Information

Book Details

Abstract

This issue of Immunology and Allergy Clinics of North America, Guest Edited by Amy D. Klion, MD and Princess U. Ogbogu, MD, is devoted to Eosinophil-Associated Disorders. Drs. Klion and Ogbogu have assembled a group of expert authors to review the following topics: Evaluation and Differential Diagnosis of Persistent Marked Eosinophilia; Spectrum of Eosinophilic End Organ Manifestations; Eosinophilia in GI disorders; Eosinophilia in Hematologic Disorders; Eosinophilia in Rheumatologic/Vascular Disorders; Eosinophilia in Pulmonary Disorders; Eosinophilia in Infectious Diseases; Eosinophilia associated with Immune Deficiency and Immune Dysregulation; Eosinophilia in Dermatologic disorders; Management of Hypereosinophilic Syndromes; and Novel Therapies for Eosinophilic Disorders.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Eosinophil-Associated Disorders\r i
Copyright\r ii
Contributors iii
Contents vii
Immunology And Allergy Clinics Of North America\r x
Preface xi
Evaluation and Differential Diagnosis of Persistent Marked Eosinophilia 387
Key points 387
Eosinophil biology 387
Eosinophilia 388
Causes of hypereosinophilia 389
Drug Hypersensitivity 389
Allergic Disorders 390
Infection 390
Neoplasm 391
Other 392
Hypereosinophilic Syndrome 393
Lymphocytic Hypereosinophilic Syndrome 395
Myeloproliferative Hypereosinophilic Syndrome 395
Other Categories of Hypereosinophilic Syndrome 396
Approach to the Evaluation of Patients with Persistent, Marked Eosinophilia 397
Summary 399
References 399
Spectrum of Eosinophilic End-Organ Manifestations 403
Key points 403
Introduction 403
Mechanisms of end-organ manifestations 404
Gastrointestinal 405
Pulmonary 405
Upper airway and sinuses 406
Cardiovascular 406
Neurologic 407
Skin 407
Renal and genitourinary 407
Summary 408
References 408
Eosinophils in Gastrointestinal Disorders 413
Key points 413
Introduction 414
Eosinophilic gastrointestinal diseases 414
Eosinophilic Esophagitis 414
Epidemiology 414
Risk factors 414
Pathophysiology 414
Clinical features 416
Association with eosinophilia 416
Acute and chronic management 416
Overview 416
Acute 417
Chronic 417
Drugs 417
Systemic and topical corticosteroids 417
Proton pump inhibitors 417
Biologic agents 418
Diet 418
Elemental diet 418
Targeted diet 418
Six food group elimination diet 418
Dilation 418
Other considerations 418
Differential diagnosis 418
Prognosis 419
Eosinophilic gastritis, gastroenteritis, and colitis 419
Clinical features 419
Association with eosinophilia 419
Acute and chronic management 420
Differential diagnosis 420
Natural history 420
Celiac disease 420
Epidemiology 420
Risk Factors 421
Pathophysiology 421
Clinical Features 421
Association with Eosinophilia 421
Acute and Chronic Management 422
Inflammatory bowel diseases 422
Epidemiology 422
Risk Factors 423
Pathophysiology 423
Clinical Features 423
Association with Eosinophilia 423
Mucosal eosinophilia 424
Eosinophil products and inflammatory bowel disease 424
Acute and Chronic Management 424
Differential Diagnosis 425
Prognosis 425
Parasitic infections 425
Introduction 425
Hookworm Infection 426
Strongyloidiasis 426
Diagnostic Approach 428
Future considerations and summary 428
References 428
Eosinophilia in Hematologic Disorders 439
Key points 439
Introduction 439
Reactive eosinophilia 440
Reactive eosinophilia of hematologic and oncologic interest 440
Lymphocyte variant hypereosinophilic syndrome 440
Eosinophilic myeloid disorders 441
Epidemiology 441
Classification 441
Diagnostic Workup 441
Treatment 444
Molecularly defined eosinophilia-associated myeloid neoplasms 444
Idiopathic hypereosinophilic syndrome and chronic eosinophilic leukemia not otherwise specified 447
Summary 448
References 448
Eosinophilia in Rheumatologic/Vascular Disorders 453
Key points 453
Introduction 453
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss) 454
Epidemiology 454
Risk Factors 454
Pathophysiology 455
Clinical Features and Diagnostic Investigation 455
Differential Diagnosis 456
Management 457
Prognosis 458
Immunoglobulin G4-related disease 458
Epidemiology 458
Risk Factors 458
Pathophysiology 458
Clinical Features and Diagnostic Investigation 459
Differential Diagnosis 459
Management 459
Prognosis 459
Diffuse fasciitis with eosinophilia 461
Epidemiology 462
Risk Factors 462
Pathophysiology 463
Clinical Features and Diagnostic Investigation 463
Differential Diagnosis 464
Management 464
Prognosis 465
Eosinophilia-myalgia syndrome 465
Epidemiology 465
Risk Factors 465
Pathophysiology 465
Clinical Features and Diagnostic Investigation 466
Differential Diagnosis 466
Management 466
Prognosis 466
Eosinophilic myositis 466
Epidemiology 466
Risk Factors 466
Pathophysiology 466
Clinical Features and Diagnostic Investigation 467
Management 468
Differential Diagnosis 468
Prognosis 468
Summary 468
References 469
Eosinophilia in Pulmonary Disorders 477
Key points 477
General considerations 477
Introduction 477
Mechanisms of Eosinophil Migration into the Lung 478
Role of Eosinophils in Lung Disease 481
Clinical features 481
Asthma 481
Allergic Fungal Airway Disease 482
Eosinophilic Pneumonia 483
Eosinophilic Granulomatosis with Polyangiitis (Formerly Churg-Strauss Syndrome) 484
Idiopathic Hypereosinophilic Syndrome 484
Infections 484
Malignancy 485
Diagnostic tests 485
Management 485
Current controversies 487
Future considerations/summary 488
References 488
Eosinophilia in Infectious Diseases 493
Key points 493
Introduction 493
Initial approach 494
Eosinophilia in the short-term traveler 494
Infectious Causes of Eosinophilia and Fevers in the Traveler 500
Eosinophilia with fevers and abdominal and/or pulmonary symptoms in the traveler 500
Acute schistosomiasis (“Katayama fever”) 500
Fascioliasis 500
Opisthorchiasis 500
Clonorchiasis 500
Gnathostomiasis 501
Paragonimiasis 501
Capillariasis 501
Eosinophilia with fevers and myositis in the traveler 501
Trichinellosis 501
Muscular sarcocystosis 501
Eosinophilia with fevers and central nervous system symptoms in the traveler 501
Infectious Causes of Eosinophilia and Gastrointestinal Symptoms (Without Fever) in the Traveler 503
Hookworm infections 503
Strongyloidiasis 503
Cystoisospora belli (formerly Isospora belli) 503
Echinostomiasis 503
Infectious Causes of Eosinophilia and Allergic or Dermatologic/Soft Tissue Symptoms in the Traveler 503
Anisakiasis 503
Ascariasis 504
Cutaneous larva migrans 504
Onchocerciasis 504
Lymphatic filariasis 504
Loiasis 504
Gnathostomiasis 504
Paragonimiasis 505
Eosinophilia in the traveler conclusions 505
Eosinophilia in indigenous populations (immigrant/refugees) and long-term residents 505
Infectious Causes of Eosinophilia and Gastrointestinal Symptoms in the Immigrant 505
Echinococcosis 505
Ascariasis 505
Trichuriasis 505
Strongyloidiasis 506
Opisthorchis and Clonorchis 506
Hymenolepis nana 506
Schistosoma mansoni infection 506
Infectious Causes of Eosinophilia and Pulmonary Symptoms in the Immigrant 506
Paragonimiasis 506
Echinococcal cyst 506
Tropical pulmonary eosinophilia 507
Eosinophilia Associated with Disorders of Immune Deficiency or Immune Dysregulation 523
Key points 523
Introduction 523
Syndromic causes of increased IgE levels and eosinophilia 524
Autosomal Dominant Hyper IgE Syndrome 524
Clinical features, infections, and management 524
Clinical laboratory findings 527
Genetics and pathogenesis 528
Dedicator of Cytokinesis 8 Deficiency 528
Clinical features, infections, and management 528
Clinical laboratory findings 529
Genetics and pathogenesis 529
Phosphoglucomutase 3 Deficiency 530
Clinical features, infections, and management 530
Clinical laboratory findings 530
Genetics and pathogenesis 530
Wiskott-Aldrich Syndrome 531
Clinical features, infections, and management 531
Clinical laboratory findings 531
Genetics and pathogenesis 531
Severe combined immunodeficiency and related disorders associated with eosinophilia 532
Adenosine Deaminase–Severe Combined Immunodeficiency 532
Clinical features, infections, and management 532
Clinical laboratory findings 532
Genetics and pathogenesis 532
Omenn Syndrome 533
Eosinophilia in Dermatologic Disorders 545
Key points 545
Dermatologic disorders with eosinophilia 545
Pathogenic mechanisms mediated by eosinophils 546
Clinical presentations of dermatoses with eosinophilia 546
Eczematous Pattern 546
Atopic dermatitis 546
Contact dermatitis 547
Scabies and cutaneous larva migrans 547
Primary cutaneous T-cell lymphoma 548
Lymphocytic variant of hypereosinophilic syndromes 548
Langerhans cell histiocytosis 548
Maculopapular Exanthema 549
Drug hypersensitivity reactions 549
Drug reaction with eosinophilia and systemic symptoms 549
Urticarial Pattern 549
Urticaria 549
Eosinophilic cellulitis (Wells’ syndrome) 550
Episodic angioedema with eosinophilia (Gleich’s syndrome) 550
Pregnancy-related diseases 550
Cutaneous mastocytosis 550
Blisters and Pustules 550
Bullous pemphigoid 550
Pemphigus group 551
Incontinentia pigmenti 551
Eosinophilic pustular folliculitis 551
Nodular Lesions 552
Prurigo nodularis 552
Granuloma faciale 552
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) 552
Angiolymphoid hyperplasia with eosinophilia and Kimura’s disease 552
Primary cutaneous CD30+ lymphoproliferative disorders: lymphomatoid papulosis and primary cutaneous anaplastic large-cell l ... 553
Cutaneous B-cell lymphomas 553
Hodgkin’s lymphoma 554
Eosinophilic dermatosis of hematologic malignancies 554
Cutaneous features of hypereosinophilic syndromes 554
Fibrosis 554
Eosinophilic fasciitis 554
Localized scleroderma 554
Diagnostic and therapeutic approaches 554
References 556
Management of Hypereosinophilic Syndromes 561
Key points 561
Introduction 561
Assessment for the presence of eosinophil-mediated complications 562
Pathologic Assessment for Hypereosinophilic Syndrome 562
Shortcomings of Pathology in the Evaluation of the Hypereosinophilic Patient 564
Evaluation of Eosinophil-Mediated Damage Using Methods Other than Histology 564
Are There Surrogate or Predictive Markers for Eosinophil-Mediated Damage? 565
Diagnostic evaluation of hypereosinophilia 565
Establishing a Link Between a Given Condition or Disease and Hypereosinophilia 565
Treatment of hypereosinophilic syndromes associated with a known underlying condition 566
Decision on Whether to Treat the Underlying Condition, the Hypereosinophilia, or Both 566
Specific Management of Myeloid Neoplasms 567
Specific management of lymphocytic variant hypereosinophilic syndrome 570
Treatment of symptomatic and unexplained hypereosinophilia 570
Corticosteroid Treatment 571
Corticosteroid-Sparing Agents and Second-Line Treatment 571
Summary and future considerations 572
References 572
Novel Therapies for Eosinophilic Disorders 577
Key points 577
Introduction 577
The eosinophil surface as a target 578
The eosinophil interior as a target 581
Approved therapies that also target eosinophils or eosinophil-related pathways 581
Novel eosinophil-selective therapies being tested in clinical trials 582
Novel therapies that may indirectly affect eosinophils that are being tested in clinical trials 589
Agents Moving Forward 589
Agents Whose Development is Not Currently Moving Forward 589
Future considerations 590
Summary 591
References 591