Presentation
Cough and shortness of breath
Patient Data
Extensive tiny nodules predominantly in centrilobular distribution are seen in the bilateral lung with no lobar preference.
After treatment, extensive tiny nodules have a complete resolution in both lungs.
Case Discussion
The patient had eosinophilic leukocytosis with absolute eosinophil count (AEC) was 32,000 cells/mm3. The serum IgE level was high (6766 KIU/L). The eosinophilia FISH panel report was negative to rule out neoplastic etiology.
After the treatment with steroid and DEC (diethylcarbamazine), his symptom resolved and follow up CT after 3 months shows complete resolution of extensive tiny nodules.
The close differential diagnosis in indian subcontinent includes military tuberculosis.
Case co-author: Dr Amit kumar, Medical oncologist, Medanta hospital, Patna, India.
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