Eosinophilia in Rheumatologic/Vascular Disorders

Immunol Allergy Clin North Am. 2015 Aug;35(3):453-76. doi: 10.1016/j.iac.2015.05.001. Epub 2015 Jun 17.

Abstract

Peripheral and tissue eosinophilia can be a prominent feature of several unique rheumatologic and vascular diseases. These diseases span a wide range of clinical features, histologic findings, therapeutic approaches, and outcomes. Despite the rare nature of these entities--which makes large-scale studies challenging--knowledge has continued to grow regarding their epidemiology, pathophysiology, and management. This review compares and contrasts 5 rheumatologic and vascular conditions in which eosinophilia can be seen: eosinophilic granulomatosis with polyangiitis (Churg-Strauss), immunoglobulin G4-related disease, diffuse fasciitis with eosinophilia, eosinophilia-myalgia syndrome, and eosinophilic myositis.

Keywords: Diffuse fasciitis with eosinophilia; Eosinophilia-myalgia syndrome; Eosinophilic fasciitis; Eosinophilic granulomatosis with polyangiitis (Churg-Strauss); Eosinophilic myositis; Immunoglobulin G4-related disease.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid / pathology
  • Churg-Strauss Syndrome / diagnosis
  • Churg-Strauss Syndrome / epidemiology
  • Churg-Strauss Syndrome / pathology*
  • Churg-Strauss Syndrome / therapy
  • Eosinophilia / diagnosis
  • Eosinophilia / epidemiology
  • Eosinophilia / pathology*
  • Eosinophilia / therapy
  • Eosinophilia-Myalgia Syndrome / diagnosis
  • Eosinophilia-Myalgia Syndrome / epidemiology
  • Eosinophilia-Myalgia Syndrome / pathology*
  • Eosinophilia-Myalgia Syndrome / therapy
  • Eosinophils / pathology*
  • Fasciitis / diagnosis
  • Fasciitis / epidemiology
  • Fasciitis / pathology*
  • Fasciitis / therapy
  • Humans
  • Muscular Dystrophies, Limb-Girdle / diagnosis
  • Muscular Dystrophies, Limb-Girdle / epidemiology
  • Muscular Dystrophies, Limb-Girdle / pathology*
  • Muscular Dystrophies, Limb-Girdle / therapy
  • Tryptophan / metabolism

Substances

  • Tryptophan

Supplementary concepts

  • Eosinophilic Fasciitis
  • Limb-girdle muscular dystrophy type 2A