「Eosinophilia」の版間の差分
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| 28行目: | 28行目: | ||
**Paracoccidioidomycosis | **Paracoccidioidomycosis | ||
*HIV? | *HIV? | ||
| + | **not by HIV itself? by superinfection? | ||
| + | |||
| + | ==History taking== | ||
| + | *Where the patient stayed | ||
| + | *Time since return in travellers | ||
| + | *High or moderate or mild | ||
| + | **mild eosinophilia may be from other than helminth | ||
| + | *What the patient was exposed with | ||
| + | **freshwater | ||
| + | **food, especially raw ones | ||
| + | **barefoot walking | ||
| + | *Accompanying symptoms/signs | ||
2021年4月8日 (木) 16:28時点における版
Definition
- Eos. > 450/mcl
- Helminth infection most common cause in travellers/migrants
- May be less prominent for migrants having dwelled in endemic area for long time
- May be the only sign without any symptoms
Cause
- Allergy/autoimmune
- Infection
- Neoplasm
- Drug
- Rare eosinophillic disorder
- Others
Infectious eosinophilia
- Helminth
- when migrating to lung
- tissue invasion
- Ectoparasites
- scabies
- myiasis
- Protozoa
- Sarcocystis, Cystoisospora belli
- Resolving bacterial/viral infection
- "Eosinophilic dawn" - no need to investigate
- Fungus
- Coccidioidomycosis
- Paracoccidioidomycosis
- HIV?
- not by HIV itself? by superinfection?
History taking
- Where the patient stayed
- Time since return in travellers
- High or moderate or mild
- mild eosinophilia may be from other than helminth
- What the patient was exposed with
- freshwater
- food, especially raw ones
- barefoot walking
- Accompanying symptoms/signs
