Case Report

An Unusual Case of Eosinophilia with Systemic Lupus Erythematosus: A Case Report and Review of Literature

Table 3

Clinical presentation, diagnosis, treatment, and outcome of different reported studies.

AuthorClinical presentationDiagnosisTreatmentOutcome

Hegarty et al. [6]Fever, diarrhea, and vomiting along with a preceding history of fatigue and flitting polyarthralgia involving the wrists, hands, and feetSLE, with hypereosinophilia, acalculous cholecystitis, and biopsy-proven eosinophilic vasculitis affecting the kidneyThree consecutive pulses of methylprednisolone (1 g/24 h)Significant improvement
Asadi Gharabaghi et al. [7]Five-month history of diarrhea and abdominal pain, scalp lesion similar to discoid lupus erythematosus.Systemic lupus erythematosus with eosinophilic enteritisThree daily pulses of methylprednisolone at a dose of 1,000 mg/day followed by 0.5 mg/kg/day prednisoloneSymptoms resolved
Jaimes-Hernandez et al. [8]2 weeks of mild abdominal pain associated with nausea, vomiting, and melenaEosinophilic enteritis with SLEExploratory laparotomy was done and later was diagnosed to be eosinophilic enteritis with SLE. Methylprednisolone pulses 1 g for three consecutive daysSymptoms resolved
Thomeer et al. [9]Polyarthritis, pleuritis and pericarditis, alopecia, skin lesions, photosensitivity, anemia, lymphopenia, periungual vasculitisSLE with eosinophilia with postmortem diagnosis of Loffler’s syndromeMethylprednisolone (40 mg/day), chloroquine (100 mg/day), and piroxicam (20 mg/day)Death
Aydogdu et al. [10]Confusion, quadriparesis, and ataxiaSLE and associated antiphospholipid syndrome with hypereosinophilia and Loffler’s syndrome1 mg/kg/day oral methylprednisolone, heparin followed by warfarin and chloroquineImproved with further no thrombotic events
Lee et al. [11]Malar eruption and extremely pruritic, lichenified papules, and plaques over the trunk and extremities for 2 months, followed by fever, myalgia, chest discomfort, and depressed mood
Proteinuria
Hypereosinophilic syndrome associated with SLEPrednisolone (60 mg/day) × 3 months
Low-dose prednisolone (10–30 mg/day) × 1 year
Proteinuria-normal
The eosinophil count was still high.
Pruritus persisted and cutaneous lesion did not show improvement
Habibagahi et al. [12]Dizziness, headache, and both upper and lower extremities weakness along with photosensitivity, malar rash, and livedo reticularisSLE with hypereosinophilia with anticardiolipin antibody positiveIntravenous pulse methylprednisolone and therapeutic doses of heparin
Maintained with 5 mg prednisolone every other day, warfarin (5 mg) and azathioprine (50 mg) per day as a steroid-sparing agent.
Improved