Tropical pulmonary eosinophilia.
Identifieur interne : 00D065 ( Main/Exploration ); précédent : 00D064; suivant : 00D066Tropical pulmonary eosinophilia.
Auteurs : E A Ottesen [États-Unis] ; T B NutmanSource :
- Annual review of medicine [ 0066-4219 ] ; 1992.
Descripteurs français
- KwdFr :
- Animaux, Brugia (), Brugia (immunologie), Diagnostic différentiel, Diéthylcarbamazine (usage thérapeutique), Filariose lymphatique (diagnostic), Filariose lymphatique (immunologie), Filariose lymphatique (traitement médicamenteux), Humains, Immunoglobuline E (analyse), Immunoglobuline G (analyse), Poumon éosinophile (diagnostic), Poumon éosinophile (immunologie), Poumon éosinophile (traitement médicamenteux), Wuchereria bancrofti (), Wuchereria bancrofti (immunologie).
- MESH :
- analyse : Immunoglobuline E, Immunoglobuline G.
- diagnostic : Filariose lymphatique, Poumon éosinophile.
- immunologie : Brugia, Filariose lymphatique, Poumon éosinophile, Wuchereria bancrofti.
- traitement médicamenteux : Filariose lymphatique, Poumon éosinophile.
- usage thérapeutique : Diéthylcarbamazine.
- Animaux, Brugia, Diagnostic différentiel, Humains, Wuchereria bancrofti.
English descriptors
- KwdEn :
- Animals, Brugia (drug effects), Brugia (immunology), Diagnosis, Differential, Diethylcarbamazine (therapeutic use), Elephantiasis, Filarial (diagnosis), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (immunology), Humans, Immunoglobulin E (analysis), Immunoglobulin G (analysis), Pulmonary Eosinophilia (diagnosis), Pulmonary Eosinophilia (drug therapy), Pulmonary Eosinophilia (immunology), Wuchereria bancrofti (drug effects), Wuchereria bancrofti (immunology).
- MESH :
- chemical , analysis : Immunoglobulin E, Immunoglobulin G.
- chemical , therapeutic use : Diethylcarbamazine.
- diagnosis : Elephantiasis, Filarial, Pulmonary Eosinophilia.
- drug effects : Brugia, Wuchereria bancrofti.
- drug therapy : Elephantiasis, Filarial, Pulmonary Eosinophilia.
- immunology : Brugia, Elephantiasis, Filarial, Pulmonary Eosinophilia, Wuchereria bancrofti.
- Animals, Diagnosis, Differential, Humans.
Abstract
Tropical pulmonary eosinophilia is one of the many PIE syndromes [pulmonary infiltrates with eosinophilia (of the peripheral blood)]. It is caused by immunologic hyperresponsiveness to the filarial parasites Wuchereria bancrofti or Brugia malayi. Its clinical presentation includes nocturnal cough, dyspnea, wheezing, fever, weight loss, fatigue, interstitial mottling on chest radiograph, predominantly restrictive but also obstructive lung function abnormalities, and peripheral blood eosinophilia of more than 3000 per microliter. It can be distinguished from other PIE syndromes by the patient's history of residence in the tropics, by the presence of extraordinarily high levels of both serum IgE and antifilarial antibodies, and by the dramatic clinical improvement after treatment with the antifilarial drug diethylcarbamazine. Recent studies indicate that the compromised lung diffusion capacity of patients with acute tropical pulmonary eosinophilia is a function of the degree of the eosinophilic alveolitis present and that, despite a 3-week course of diethylcarbamazine, low-grade alveolitis persists in almost half of such patients; this persistent alveolitis is likely to be the cause of the progressive interstitial fibrosis seen in many untreated or inadequately treated patients with tropical pulmonary eosinophilia.
DOI: 10.1146/annurev.me.43.020192.002221
PubMed: 1580599
Affiliations:
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Filarial</term><term>Pulmonary Eosinophilia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Filariose lymphatique</term><term>Poumon éosinophile</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Brugia</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Pulmonary Eosinophilia</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Brugia</term><term>Filariose lymphatique</term><term>Poumon éosinophile</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Brugia</term><term>Elephantiasis, Filarial</term><term>Pulmonary Eosinophilia</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term><term>Poumon éosinophile</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Diéthylcarbamazine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animals</term><term>Diagnosis, Differential</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Animaux</term><term>Brugia</term><term>Diagnostic différentiel</term><term>Humains</term><term>Wuchereria bancrofti</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tropical pulmonary eosinophilia is one of the many PIE syndromes [pulmonary infiltrates with eosinophilia (of the peripheral blood)]. It is caused by immunologic hyperresponsiveness to the filarial parasites Wuchereria bancrofti or Brugia malayi. Its clinical presentation includes nocturnal cough, dyspnea, wheezing, fever, weight loss, fatigue, interstitial mottling on chest radiograph, predominantly restrictive but also obstructive lung function abnormalities, and peripheral blood eosinophilia of more than 3000 per microliter. It can be distinguished from other PIE syndromes by the patient's history of residence in the tropics, by the presence of extraordinarily high levels of both serum IgE and antifilarial antibodies, and by the dramatic clinical improvement after treatment with the antifilarial drug diethylcarbamazine. Recent studies indicate that the compromised lung diffusion capacity of patients with acute tropical pulmonary eosinophilia is a function of the degree of the eosinophilic alveolitis present and that, despite a 3-week course of diethylcarbamazine, low-grade alveolitis persists in almost half of such patients; this persistent alveolitis is likely to be the cause of the progressive interstitial fibrosis seen in many untreated or inadequately treated patients with tropical pulmonary eosinophilia.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><noCountry><name sortKey="Nutman, T B" sort="Nutman, T B" uniqKey="Nutman T" first="T B" last="Nutman">T B Nutman</name></noCountry><country name="États-Unis"><region name="Maryland"><name sortKey="Ottesen, E A" sort="Ottesen, E A" uniqKey="Ottesen E" first="E A" last="Ottesen">E A Ottesen</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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