Recent advances in the classification and management of hypereosinophilia.
10.4168/aard.2015.3.6.387
- Author:
Chan Sun PARK
1
;
Sang Pyo LEE
Author Information
1. Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
- Publication Type:Review
- Keywords:
Hypereosinophilic syndrome;
FIP1L1-PDGFRA;
Molecular targeted therapy
- MeSH:
Adrenal Cortex Hormones;
Blood Platelets;
Bone Marrow Diseases;
Classification*;
Drug-Related Side Effects and Adverse Reactions;
Eosinophilia;
Eosinophils;
Helminths;
Humans;
Hypereosinophilic Syndrome;
Molecular Targeted Therapy;
Imatinib Mesylate
- From:Allergy, Asthma & Respiratory Disease
2015;3(6):387-395
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Numerous disorders and etiologies may underlie increased eosinophil counts. Hypereosinophilia (HE) is defined as a peripheral blood eosinophil count greater than 1,500/mm3 and may be potentially harmful because of tissue damage. Hypereosinophilic syndrome (HES) also represents a heterogeneous disorder characterized by persistent HE with the evidence of organ dysfunction, clinical symptoms, or both caused by eosinophilia. The refining criteria and subclassification of HE and HES are currently being revised on cellular and molecular based diagnostic methods. Initial approaches focus on evaluating various underlying causes, including helminthic infections, adverse drug reactions, allergic diseases, and neoplastic diseases. When secondary causes of HE are excluded, the workup should proceed to the evaluation of primary/clonal bone marrow disease, including fip 1-like 1-platelet driven growth factor receptor alpha (FIP1L1-PDGFRA) mutation. Concurrently, if the patient has symptoms and signs, organ damage or dysfunction must be evaluated. Although, corticosteroids are the mainstay of therapy in confirmed HES, imatinib is considered a definitive treatment for FIP1L1-PDGFRA, platelet driven growth factor receptor beta rearranged HE and HES. In this article, we discuss recent advances in the classification of and practical approaches to HE and HES. In addition, we introduce several promising therapies for HE and HES.
