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pathophysiology-of-hypereosinophilic syndrome

  • In hypereosinophilic syndrome (HES), eosinophils damage the tissues that they infiltrate.

  • Common target organs include the skin, lung, and gastrointestinal tract.

  • Less commonly, patients can have potentially life-threatening damage to the cardiovascular system and brain.

  • Activated eosinophils may damage tissues in a number of mechanisms, which are described in more detail separately. (See “Eosinophil biology and causes of eosinophilia”.)

  • Eosinophils are derived from myeloid progenitors in the bone marrow, through the action of three hematopoietic cytokines: granulocyte macrophage colony-stimulating factor (GM-CSF), interleukin-3 (IL-3), and interleukin-5 (IL-5).

  • Of these three, only IL-5 is specific for eosinophil differentiation.

mechanisms of eosinophil overproduction