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A case of severe eosinophilia in a preterm infant
Journal article   Peer reviewed

A case of severe eosinophilia in a preterm infant

Abdul R Shahein, Silvio Gonzalez, Manuel Carcao, Mohamed Abdelhaleem, Jonathan Hellmann and Patrick J McNamara
Pediatrics (Evanston), Vol.127(3), pp.e767-e771
03/2011
DOI: 10.1542/peds.2010-0260
PMID: 21357337

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Abstract

Eosinophilia of prematurity is commonly seen in premature infants as a result of many causes, although a sustained or progressive form is uncommon. Different pathophysiological hypotheses include decreased circulating adrenal steroids and foreign antigen exposure. We present here a case of prolonged extreme eosinophilia in a preterm infant complicated by thrombocytopenia. The patient's eosinophil count reached 91.48 × 10(9)/L and remitted with nonspecific treatment. A comprehensive clinical, laboratory, and radiologic assessment is usually required in the context of a hypereosinophilic preterm infant to recognize the triggering etiology. Nonspecific treatment was the modality of choice because of unclear etiology in our case. Preterm infants with blood eosinophilia might not need immunomodulatory treatment despite extremely high absolute eosinophil counts.
Blood Component Transfusion - methods Eosinophilia - therapy Diagnosis, Differential Follow-Up Studies Humans Infant, Premature, Diseases - diagnosis Infant, Premature, Diseases - therapy Infant, Premature Female Leukocyte Count Eosinophilia - diagnosis Infant, Newborn Eosinophils

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