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- Kian-Guan Lee, Matthew Bingfeng Chuah, Hak-Chiaw Tang, and Terrance Siang Jin Chua.
- Renal Medicine Department, Singapore General Hospital, Outram Road, Singapore 169608. kianguan.lee@mohh.com.sg.
- Singap Med J. 2014 Aug 1; 55 (8): e129-31.
AbstractAs the nonspecific clinical presentation of hypereosinophilic syndrome (HES) may mimic many multisystemic diseases, it often presents as a diagnostic challenge. Herein, we report the case of a 60-year-old man who presented with progressive heart failure symptoms and eosinophilia. Despite extensive diagnostic evaluation, no underlying cause was found. Transthoracic echocardiography revealed a large left ventricular thrombus, which is suggestive of hypereosinophilic cardiac involvement. The patient was started on steroids and responded clinically and haematologically.
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