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Eosinophilia is a condition in which the eosinophil count in the peripheral blood exceeds 5 × 10 8 /L (500/μL). [1] Hypereosinophilia is an elevation in an individual's circulating blood eosinophil count above 1.5 × 10 9 /L (i.e. 1,500/μL).
Hypereosinophilic syndrome is a disease characterized by a persistently elevated eosinophil count (≥ 1500 eosinophils/mm³) in the blood for at least six months without any recognizable cause, with involvement of either the heart, nervous system, or bone marrow.
Eosinopenia, decrease in eosinophil blood count; Eosinophilia, increase (>500 cells per microliter) in eosinophil blood count; Hypereosinophilia, extreme increase (>1,500 cells per microliter) in eosinophil blood count; Clonal hypereosinophilia, presence of a premalignant or malignant clone of eosinophils in bone marrow and blood
Another theory postulates that eosinophils in sepsis travel out of the blood and may contribute to tissue damage, causing relative eosinopenia in the blood with elevated eosinophils in affected tissue. [5] Eosinophils have been shown to have a cytotoxic effect on bacteria, which contributes to surrounding tissue damage. [2] [3]
While virtually any cause for the elevation and activation of blood eosinophils must be considered as a potential cause for eosinophilic myocarditis, the following list gives the principal types of eosinophilia known or thought to underlie the disorder. [citation needed] Primary conditions that may lead to eosinophilic myocarditis are:
Criteria for the diagnosis include findings of: a) long term hypereosinophilia (i.e. eosinophil blood counts >1,500/microliter) plus physical findings and symptoms associated with the disease; b) bone marrow analysis showing abnormally high levels of eosinophils; c) elevated serum levels of Immunoglobulin E, other immunoglobulins, and CCL17; d ...
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