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Pulmonary puzzle
A 63-year-old male with marked eosinophilia and dyspnoea on exertion
  1. S-H Kim1,
  2. Y Nawa2,
  3. H Y Kim1,
  4. W Kwon3,
  5. S J Yong1,
  6. S H Jung4
  1. 1
    Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
  2. 2
    Division of Parasitology, Department of Infectious Diseases, Faculty of Medicine, University of Miyazaki, Kiyotake, Miyazaki, Japan
  3. 3
    Department of Diagnostic Radiology, Yonsei University Wonju College of Medicine, Wonju, Korea
  4. 4
    Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea
  1. Correspondence to Dr S H Jung, Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea; soonheej{at}yonsei.ac.kr

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Clinical presentation

A 63-year-old male farmer presented marked eosinophilia. He had no symptoms of fever, night sweats or weight loss and no signs of anaemia, jaundice or lymphadenopathy. The leucocyte count was 17.27×109/l, with 53.1% eosinophils, but no eggs or parasites were found in his faeces. Blood chemistry results were within normal limits except for an elevated alanine aminotransferase level of 77 U/l. Serum total …

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