Singapore Med J 2014; 55(8): e129-e131; http://dx.doi.org/10.11622/smedj.2014109
Hypereosinophilic syndrome with large intracardiac thrombus
Lee KG, Chuah MB, Tang HC, Chua SJ
Correspondence: Dr Kian-Guan Lee, kianguan.lee@mohh.com.sg
ABSTRACT
As the nonspecific clinical presentation of hypereosinophilic syndrome (HES) may mimic many multisystemic diseases, it often presents as a diagnostic challenge. Herein, we report the case of a 60-year-old man who presented with progressive heart failure symptoms and eosinophilia. Despite extensive diagnostic evaluation, no underlying cause was found. Transthoracic echocardiography revealed a large left ventricular thrombus, which is suggestive of hypereosinophilic cardiac involvement. The patient was started on steroids and responded clinically and haematologically.
Keywords: cardiomyopathy, eosinophilia, hypereosinophilic syndrome, intracardiac thrombus
Singapore Med J 2014; 55(8): e129-e131; http://dx.doi.org/10.11622/smedj.2014109
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