Asthma & eosinophilia

Chief Complaint A 70 y/o male presents with cough with sputum & dyspnoea on exertion. History He has h/o asthma & eosinophilia. He takes inhaler which is not very effective. He works in a factory where he make breads Investigations Lab shows persistent eosinophilia with 2.0 k/mm3 & IgE 10000 IU/ml. Skin test was positive for some plants and dog. Chest radiograph normal CT shows scattered ground glass opacities. Diagnosis What is your opinion on diagnosis? Treatment Please advise management of the case.

3 Likes

LikeAnswersShare

Allergic bronchitis and he is asthmatic secondary to allergens IgE and AEC suggest tropical eosinophilia as well Rx tab hetrazan 100mg tds Tab Levocetrizine5mg 1bd Continue nebulisation Get xray and hrct done Sos for PFT If not controlled steroids are to be use Desensitising to known allergens

Thanx dr Pranab Bera
0

Eosinophilia secondary to allergic bronchitis and allergens. Under present circumstances ground glass opacities seen in pt suffering from COVID 19 . Protocols must be followed till reports prove otherwise. Complete rest and good neutrinos balance diet. Protect against exposure to allergens.

Thanks Dr Dinesh Gupta
0

Hypersensitivity pneumonia ,Idiopathic Lung Fibrosis,allergic asthma Foracort inhaler, Salbutamol inhaler , antihistamines, monteleucast, A course of diethyl carbamazepine citrate , albendazole . Preventive measures like wearing masks while working. Chest physiotherapy

Thank you ,Dr Vipin Bihari Jain
0

SUGGESTIVE. OF . EOSINOPHILIA ALLERGIC ASTHMA WITH POSSIBLY LUNG. FIBROSIS NEEDS. FURTHER. EVALUATION

Eosinophilia Ground glass opacities Do hrct RT PCR clia absolute eosinophilic count Allergic skin testing Then treat

Skin test was positive for some plants and dog.
0

I am agree with Dr Shivraj Agarwal Sir and Dr Mansukh Shah Sir. I think control release, such as DOXOLIN 400,ASTHALIN or THEOASTHALIN , DERYPHYLIN 150/300 WITH MONTELUKAST 10MG with this medication for the better results of complicated RTI patient.