Eosinophilic Ascites - Presenting Symptom of the Hypereosinophilic Syndrome
Sofia Rimbrot1, Michael Bennett2, Marina Komorovski2, Yishai Levy3
1Department of Medicine A, 2Department of Haematology, Haemek Medical Center, Afula and 3Technion Faculty of Medicine, Haifa, Israel
We report a case of a 22 year old man with a history of bronchial asthma, suffering from diarrhea, eosinophilic ascites and prominent blood and bone marrow eosinophilia. The patient responded to corticosteroid treatment.
Later, hydroxyurea was added to this treatment because of recurrence of eosinophilia, ascites and hepatosplenomegaly.
Eosinophilic ascites is rarely the outstanding symptom of the hypereosinophilic syndrome.
Following the exclusion of other reasons for eosinophilia, concomitant unexplained hepatosplenomegaly suggested the diagnosis of a hyperereosinophilic syndrome.