Hundt W, Stäbler A, Reiser M
Department of Diagnostic Radiology, Klinikum Grosshadern, Ludwig-Maximilians-Universität, Marchioninistrasse 15, D-81377 Munich, Germany.
Eur Radiol. 1999;9(3):525-8. doi: 10.1007/s003300050704.
A 40-year-old white man presented with fever, muscle pain, skin nodules and persistent hypereosinophilia over a period of 1 year. In addition, he had ventricular arrhythmias with episodes of tachycardia. Besides a lack of response to antiparasitic therapy, laboratory and pathological data excluded the diagnosis of trichinosis or any other parasitic infection. The patient's course of the disease over the previous 1(1)/2 years was compatible with hypereosinophilic syndrome. In a muscle biopsy several eosinophilic perivascular and leucocytic intravascular infiltrates were found, indicative of muscle involvement by the disease. This is a report on the MRI findings of muscle involvement in idiopathic hypereosinophilic syndrome.
