Idiapathic Hypereosinophilic Syndrome with Rheumatoid Arthritis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Idiopathic Hypereosinophilic Syndrome is defined as1) sustained eosinophilia more than 1500/mm3 .2)absence of other causes of eosinophilia.3) multiorgan involvement. Very few case reports have been reported in the past of rheumatoid arthritis and Idiopathic Hypereosinophilic Syndrome. Here we report a rare case of 59 year old patient,known case of rheumatoid arthritis since the last ten years on DMARDS(Disease Modifying Anti Rheumatoid Drugs) who developed marked eosinophilia and multi-organ involvement in the form of stroke ,urtricarial skin rashes and left sided pleural effusion. She was treated with steroids along with methotexate initially. Once she started developing cushingoid features, steroids and methotrexate was replaced by cyclosporine and sulfasalazine.This case highlights importance of eosinophilia in rheumatoid arthritis and also possibility of common pathogenesis of Idiopathic Hypereosinophilic Syndrome and rheumatoid arthritis.
Authors and Affiliations
Drnidhi Kaeley, Dr Sohaib Ahmad, Dr Raghav Kumar
Keywords
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