Inverse Bat wing

Abstract

CEP accounts for up to 2% of all cases of interstitial lung diseases and seem more frequently in females. Symptoms are generally nonspecific. Wheezing, haemoptysis and respiratory failure are rarely seen. Extra-thoracic system involvement if present, excludes a diagnosis of CEP. Diagnosis is based on; respiratory symptoms of more than 2 weeks duration, alveolar (>40% on Broncho-alveolar lavage) and/or blood eosinophilia (0.1 X109/L), pulmonary infiltrates with usually a peripheral predominance on chest imaging and exclusion of other causes of eosinophilia. The chest X-ray as in the index case, described as photographic negative of pulmonary oedema is characteristic of CEP and is seen in up to one fourth of patients.

Keywords

• Chronic Eosinophilic Pneumonia (CEP)-Interstitial Lung disease-idiopathic hyper-Eosinophilic syndrome-Corticosteroids-Broncho-alveolar Lavage

Inverse Bat wing

Öz

-

Anahtar Kelimeler

• -

Kaynakça

1. Jederlinic PJ, Sicilian L, Gaensler EA. Chronic Eosinophilic pneumonia. A report of 19 cases and a review of the lit- erature. Medicine (Baltimore)1988; 67(3):154-62.
2. Thiruchelvam JK, Penfold CN, Akhtar S.Chronic eosino- philic pneumonia associated with T-cell lymphoma .Int J Oral Maxillofac Surg 2002 ;31(1):112-4.
3. Allen JN, Davis WB. Eosinophilic lung diseases. Am J Respir Crit Care Med 1994; 150:1423-38.
4. Cordier JF. Eosinophilic pneumonias. In: Schwarz MI, King TE, eds. Interstitial Lung Disease. Hamilton, Ontario: BC Decker; 1998:559-95.
5. Raghu GA. Respiratory Diseases: interstitial lung disease. In:Goldman LE, Ausiello DA, eds.Cecil Text book of medi- cine 2008: Elsevier Inc;640-652
6. Yeon Joo eong YJ, Kim K, Seo J, et al. Eosinophilic Lung Diseases: A Clinical, Radiologic, and Pathologic Overview. RadioGraphics 2007; 27: 617-37.
7. Peros-Golubicic T, Smojver-Jezek S. Hypereosinophilic syndrome: diagnosis and treatment. Curr Opin Pulm Med 2007; 13(5):422-7.
8. Knudsen L, Gugger M, Dumont P, Nicod L, von Garnier C. A rare cause of acute respiratory failure and elevated eosinophils in broncho-alveolar lavage fluid. Respiration 2009; 77(2):224-8.