Eosinophilic granulomatosis with polyangiitis

Case contributed by Andrea Molinari
Diagnosis almost certain


Low-grade fever, cough, shortness of breath with a history of bronchial asthma, eczema at hands and feet, nasal polyposis, and past episode of pericarditis.

Patient Data

Age: 25 years
Gender: Male

Bilateral ground glass consolidations mainly subpleuric and located prevalently in the upper lobes.

Case Discussion

Typical symtpoms of eosinophilic granulomatosis with polyangiitis are present (e.g. chronic nasal polyposis, past pericarditis and onset respiratory symptoms). Imaging illustrates a ground glass pattern compatible with eosinophilic pneumonia and, in addition to this, laboratory findings (peripheric eosinophilia, BAL with high count of eosinophils) confirm the diagnosis.

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