Doctors Lounge - Hematology Answers
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Forum Name: Hematology Topics
|Ceanne - Sat Sep 22, 2007 11:38 am||
I am a 64 year old female. I have been treated for asthma for about 11 years. I have had numerous nasal polypectomies and several ethmoidectomies. I am a medical technologist and noticed that I had eosinophilia, usually running anywhere from 12 to 24% over a year. My allergy doctor sent me to a hematologist. He said that all my CBC's were normal except for the high eos. Since I had 80% eos in my sputum, he sent me to a pulmonalogist who ran blood tests on me and did several CT scans and x-ray. My immunoglobulin was in the 200s, Anca test negative, CRP normal, Sed rate normal, X-ray normal, CT scans normal, sputum culture negative, sputum ova and parasite negative. He did find that I had bronchiecstasis and put me on a antibiotic and prednisone for 28 days. The prednisone brought my eosinophil count down to 8%. He says he doesn't know what to do about me. Do you have any ideas that he hasn't tried?
|Dr. Chan Lowe - Sat Sep 22, 2007 10:42 pm||
It sounds like you have had a thorough work up. Eosinophils can be elevated in a few situations. Commonly they are elevated with parasites, which it appears have been tested for. They can also become elevated in severely allergic settings.
Given that the prednisone brought your eosinophils down I suspect that you do have a component of allergies. This would also fit your repeated need for polypectomies and ethmoidectomies.
You may want to see an allergist about this to see if there is any other testing that can help figure this out.
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