= Loffler’s syndrom

Blood eosinophilia, absent or mild Sx

Nonsegmental pulmonary consolidation – transitory and/or migratory

Spontaneous clearing of consolidation – generally within a month
 

Acute eosinophilic pneumonia

Acute febrile illness < 5 day’s duration

Hypoxemic respiratory failure

Alveolar or alveolar/interstitial chest radiographic opacity

BAL eosinophil level > 25%

Prompt & complete response to steroids without relapse

Absence of parasitic, fungal, and other infection

Chronic esosinophilic pneumonic

Common Hx of atopia

Adult onset asthma

Homogenous alveolar lung infiltrate with distribution at lung periphery; “photographic negative” of pulmonary edema

Unchanged for many days/weeks

Dramatic response to steroid

Return to Images