title: Hypereosinophilic syndrome with large intracardiac thrombus.
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.
authors.affiliation: Renal Medicine Department, Singapore General Hospital, Outram Road, Singapore 169608. kianguan.lee@mohh.com.sg.
authors.forename: Kian-Guan
authors.initials: KG
authors.lastname: Lee
authors.forename: Matthew Bingfeng
authors.initials: MB
authors.lastname: Chuah
authors.forename: Hak-Chiaw
authors.initials: HC
authors.lastname: Tang
authors.forename: Terrance Siang Jin
authors.initials: TS
authors.lastname: Chua
mesh_terms: D001772:Blood Cell Count; D003287:Contrast Media / Q000737:chemistry; D004452:Echocardiography; D004804:Eosinophils / Q000166:cytology; D005434:Flow Cytometry; D006325:Heart Atria / Q000473:pathology; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D006333:Heart Failure / Q000150:complications; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009038:Motion; D013256:Steroids / Q000627:therapeutic use; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; D013256:Steroids