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Rheumatology 2002; 41: 349-350
© 2002 British Society for Rheumatology

Letters to the Editor

Idiopathic hypereosinophilic syndrome in a patient with long-standing rheumatoid arthritis: a case report

K. Chaudhuri, S. Dubey and G. Zaphiropoulos

Department of Rheumatology, Walsgrave Hospital, Clifford Bridge Road, Coventry CV2 2DX, UK

SIR, We would like to report the case of a patient with long-standing rheumatoid arthritis (RA) who developed the idiopathic hypereosinophilic syndrome (HES). HES is characterized by sustained blood eosinophilia, multiorgan involvement and absence of other causes for eosinophilia, these criteria being first defined in 1975 [1]. We report a patient who had seropositive erosive RA for 10 yr before developing HES. There was some initial delay in diagnosis as the eosinophilia was considered to have been induced by gold therapy. It was not until she developed multiorgan complications that the diagnosis of HES became apparent.

A 55-yr-old . . . [Full Text of this Article]

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