В связи с увеличивающимся потоком бессознательной дегельментизации наобум у детей со случайно выявленной эозинофилией, доступный в полной версии обзор по диагностике и ведению пациентов с эозинофилией:
Eosinophilia Due to Allergic Reactions.—Among the reactive eosinophilias in the developed world, allergic reactions are most common, comprising approximately 80% of cases...
Eosinophilia Due to Parasitic Infections.—Parasitic infections represent the second most-common cause of eosinophilia in developed nations, comprising 8% of eosinophilias in one large European cohort.5 Generally, the causative organism is a helminth, such as Strongyloides stercoralis. Less often, the culprit may be a single-celled protozoan...
The diagnosis of parasitic eosinophilia ultimately requires identification of an infectious trigger, either directly by identifying ova or parasites or indirectly by appropriate serologies, which may vary dependent on travel history... when parasites are implicated, the level of eosinophilia is determined by the extent of tissue invasion, and only tissue parasites are likely to cause clinically important elevations in AEC.
Management of allergic eosinophilias involves standard allergen-avoidance measures. In cases of eosinophilia from a drug allergy, the suspected agent should be withheld. Common offenders include allopurinol, carbamazepine, and certain antibiotics.81 However, all medications should be considered, and when there is no clear source, it may become necessary to withhold all nonessential medications.
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Diagnostic Complexities of Eosinophilia
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Искренне,
Вадим Валерьевич.
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