The disease is eosinophilia. Eosinophilia: what is it and how to treat it? Normal eosinophil values

With prolonged coughing or coughing, a blood test reveals that eosinophils are elevated in an adult. What does this mean? Most likely, a runny nose is allergic. In addition, eosinophilia may indicate other serious pathologies.

What are eosinophils?

Eosinophils- These are granulocytic leukocytes formed in bone marrow cells. Eosinophils absorb immune complex during the occurrence of allergic reactions, they will be mixed to the source of inflammation or to damaged tissue. Eosinophils remain in the blood for about an hour, then pass into the tissues.

What do eosinophils mean? They are called so because they actively absorb the dye eosin, which is used in the laboratory for diagnostics. The properties of eosinovils are varied. For example, they are involved in the formation of mammary glands after childbirth. The role of eosinophils in the body:

Increased production spinal cord eosinophils may lead to immediate allergic reactions (anaphylaxis). Thus, eosinophils perform antiallergenic and proallergenic functions. Therefore, an increase in eosinophils is observed during allergies.

The number of eosinophils in the blood varies throughout the day. In the evening their number increases by 16%, at night - by 30%. In addition, in women, estrogens contribute to an increase in the synthesis of eosinophils, and progesterone - a decrease. Therefore, in the first half of the cycle there is increased number eosinophils, which gradually decreases after ovulation.

Eos is normal if their amount is within 0.4x109/l in an adult and 0.7x109/l in a child, which is 1-5% of total number white blood cells.

Causes of increased eosinophils

An increased level of eosinophils in the blood may indicate that the body is in a “state of fight” against allergens.

Causes of eosinophilia:

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In medicine, the following degrees of eosinophil increase are distinguished:

  • Light - less than 10%.
  • Average - increase by 10-15%.
  • Severe - more than 15%. Such an excess indicates oxygen starvation of tissues.

When the indicators are greatly exceeded, foci of inflammation form in the body, for example, acute rhinitis, swelling of the larynx.

In addition to blood, eosinophils can be found in urine, sputum, and fluid discharged from the nasopharynx. This phenomenon is typical for asthma, bronchitis, and allergic rhinitis.

A large number of eosinophils is not an independent pathology, it means that a strong inflammatory process which needs to be eliminated. Increased levels are especially dangerous in children. This may indicate such serious pathologies as:

  • Hemolytic disease.
  • Malignant blood disease.
  • Asthma, allergic rhinitis.

Symptoms of increased eosinophils

Symptoms when elevated eosinophils depend on what was the root cause of the pathological condition:

Reactive diseases (arthritis) give the following symptoms:

  • anemia;
  • enlarged spleen;
  • inflammation of veins, arteries;
  • increase in temperature;
  • joint pain;
  • weight loss.

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  • nausea:
  • headache;
  • muscle pain;
  • shortness of breath, cough;
  • enlarged lymph nodes;
  • general deterioration of condition.

If the increase is caused allergic reactions, then the patient has signs of allergy:

  • rash;
  • swelling;
  • allergic cough.

For gastrointestinal diseases that provoke an increase, the symptoms are as follows:

  • nausea, vomiting;
  • diarrhea;
  • stomach ache;
  • liver enlargement.

The pulmonary form of eosinophilia is expressed in a dry cough that worsens at night, decreased appetite, and weight loss.

Malignant blood diseases give the following symptoms:

  • joint pain;
  • itching of the skin;
  • enlarged spleen;
  • causeless cough.

Diagnostics

If you experience one or more of the above symptoms, you should get tested to determine the cause of your eosinophilia. For this, the following tests are prescribed:

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Treatment of elevated eosinophil levels

How to reduce eosinophils in the blood? Since eosinophilia itself is not a disease, but only indicates the presence of other pathologies, treatment will depend on the underlying cause.

Drug therapy is selected according to the severity of the underlying disease and the patient’s age. Usually, after eliminating the cause, the indicators return to normal. Sometimes the number of eosinophils can be increased due to the use of certain drugs. Then you should abandon these funds and everything will return to normal.

  • Anthelmintics: Pyrantel, Mebendazole.
  • Medicines that restore the activity of the gastrointestinal tract: Linex, Essentiale.
  • Vitamins to strengthen the immune system.

Pirantel

Essentiale

Mebendazole

If the cause of the increase is allergies, then the patient is prescribed a course of antihistamines.

Treatment of malignant tumors and blood diseases is very complex and lengthy; the course of therapy is selected by the doctor strictly individually.

Eosinophilia is a sign that something is wrong in the body. To prevent diseases from reaching an advanced stage, it is necessary to undergo full course examinations. Timely diagnosis increases the chances of recovery even with the most unfavorable diagnoses.

Eosinophilia is a marker various pathologies, and during laboratory testing it is detected in the patient’s blood.

In the blood of a child’s body, this marker appears much more often than in an adult.

What are eosinophil molecules?

The standard rate of eosinophils in the blood is no more than 5.0% of the total number of leukocytes.

Eosinophils in the blood are a type of white blood cell molecule. Eosinophils get their name from the pink tint of the cytoplasm, and they are clearly visible in laboratory blood tests using microscopy techniques.

When determining in a laboratory, it is necessary to know not only the percentage ratio, but also their quantitative volume, which should not be more than 320 in one milliliter of blood plasma.

A quantitative increase in eosinophils in the blood plasma signals that tension is occurring in the body immune system. Neutralization of histamine in allergies relies on eosinophils, since they penetrate the localization of the pathology and reduce the effect of histamine, so their number in the blood plasma is large.

Eosinophilia

This pathology is not a primary disease, but its primary etiology, this is very rare anomaly in the body and it occurs during cancer malignant neoplasms(cancer).

With malignant neoplasms, eosinophils appear in an abnormally increased volume in the bone marrow cells.

The etiology of the disease eosinophilia is quite broad, so it is necessary to establish main reason illness is possible only with comprehensive laboratory testing clinical examination body, using instrumental research damaged organs.

Therapy for eosinophilia as an independent disease is not provided, and it is necessary to treat the pathology that provokes an increase in eosinophil molecules in the blood plasma.

ICD 10 code

By international classification diseases of the tenth revision of ICD-10 - this pathology belongs to class D 72.1, "Eosinophilia", and is also classified as secondary pathology attracting immune mechanism from code D 80 to D 89.

In some situations, the etiology cannot be determined, as with eosinophilic syndrome. High index eosinophil molecules in the syndrome remain constant, then they are classified according to the ICD this syndrome– eosinophilia, and a regimen is prescribed for it drug therapy.

Standard indicators of eosinophil molecules

The norm is significantly different for an adult and a child; there are also slight differences by gender:

  • normal index in an adult male body- 0.50% - 5.0% of the volume of all leukocytes in the blood plasma;
  • the relative norm in the female adult body is from 0.50% to 5.0%, but the difference from male indicators is that in menstrual period These indicators deviate slightly. The first phase of the menstrual cycle - an excess of eosinophils is recorded, and after ovulation of the egg - they are reduced;
  • the standard for children from birth to 5 calendar years is 0.50% - 7.0%;
  • The normative indicator for children from 5 years of age to 14 calendar years is from 1.0% - 5.0%.

The absolute standard value for adults is 0.15-0.450X10.0⁹ per liter of blood plasma.

From the results of a general analysis of peripheral capillary blood - the pathology of hypereosinophilic syndrome indicates the value of eosinophils in the blood plasma is more than 15.0% of the total volume of leukocytes.

Eosinophilia is divided according to the level of percentage increase in eosinophil molecules in the plasma blood composition:

  • mild degree of pathology - no more than 10.0% of the total number of leukocytes;
  • degree of moderate course of the disease - from 10.0% - 20.0% of the total volume;
  • severe degree of the disease - more than 20.0% of the total concentration in the plasma of leukocytes.

General symptoms of eosinophilia pathology and why they are increased

Symptoms of the pathology of eosinophilia are determined by primary diseases that provoke an increase in eosinophils in the blood:

Symptoms of eosinophilia

With this pathology, an increase in eosinophils is observed, as well as pronounced symptoms of eosinophilia pathology:


Allergic etiology and Loeffler's syndrome

It is manifested by an excess of the normative units of eosinophils and leukocytes, and is also expressed in the following symptoms:

Gastric pathologies

In these pathologies, a high level of eosinophil molecules in the blood plasma provokes eosinophilic diseases and is expressed in the following symptoms:

  • nausea, which leads to vomiting, after eating;
  • pain in the abdomen, in the navel area;
  • prolonged diarrhea;
  • limb spasms;
  • systematic constipation;
  • jaundice;
  • increased size of the liver and its painful condition.

Symptoms of blood pathology - a provocateur of eosinophilia

A lot of things are talked about increased performance with histiocytosis, which provokes eosinophilia, the characteristic symptoms are:


Symptoms of cancer tumors with eosinophilia

At malignant tumors in the peritoneum with eosinophilia the following symptoms appear:

  • constant thirst;
  • increase in abdominal volume;
  • not intestinal functionality.

In the human nervous system

From the authorities nervous system appear following signs and symptoms:

What test should you take? To make an initial diagnosis, it is necessary to take a general blood test. Peripheral capillary blood is suitable for this analysis.

If the CBC transcript showed high eosinophil indices, then the doctor collects anamnesis, examines the patient and makes a differential diagnosis.

The role of specialized additional methods diagnostic studies is to establish an accurate diagnosis.

To test for eosinophilia, peripheral capillary blood is taken - for general analysis.For biochemistry, venous blood is required. All material (blood, urine, feces) for research must be freshly collected.

Read more about venous blood — .

In order to get the maximum correct value this study, it is necessary to properly prepare the body for the procedure of blood sampling and urine analysis:

  • It is recommended to donate blood in the morning on an empty stomach;
  • urine for the study of eosinophils must be collected and submitted in a sterile container;
  • Urine collection should be carried out early in the morning;
  • the last urination before collection for analysis should preferably be no less than 6 - 8 hours before this urine collection procedure;
  • in front of the fence biological fluid urine, you need to wash the genitals and urinary organs with water without using gel or soap;
  • correct collection of urine for general analysis - you need the first portion of urine when urinating, and the rest of it is drained, and the middle portion of urine is taken for study;
  • the last meal should be at least 12 hours before blood collection and urine collection;
  • within 48 hours before blood sampling and urine collection, follow a diet - do not eat fried, salty, fatty foods, and do not eat sweet foods;
  • do not drink alcohol in the last 48 hours before submitting the material for analysis;
  • stop smoking;
  • stop taking medications at least 7 calendar days in advance.

Eosinophilia in children's bodies

The norms for the eosinophil count differ from the birth of the child to his adulthood stage. For a newborn infant, the normative index is not higher than 8.0%, and for a 5-year-old child - 6.0%.


Etiology of eosinophilia in children's body similar to the etiology of this pathology in adults.

Fluctuations in the concentration of eosinophils in the blood plasma are associated with weak immunity, which is only at the stage of formation, and the baby’s body is daily subject to attack by infections and the influence of allergens.

The child is faced with the root cause of allergies from the moment of birth. In its first year of life, the digestive system is formed and adapted to a variety of food products. IN this period and the child’s first encounters with food allergens occur.

The child’s mucous membrane is too weak in the first years of life, and allergens affect it and provoke pathologies in the child’s body:

  • diathesis - skin reaction to food allergen, manifested by rash and itching;
  • obstruction of bronchial type;
  • urticaria disease.

During this period, eosinophilia manifests itself as a secondary pathology of such diseases of the child’s body:

  • infectious scarlet fever;
  • tuberculosis;
  • infectious enterobiasis;
  • infectious giardiasis.

By the age of 2, a child’s allergies to food go away, unless the baby has a congenital allergic pathology.

When eosinophilia manifests itself in children, it is necessary to carry out a differential diagnostic technique in order to exclude from the list the root causes of this pathology, hematopoietic diseases.

What are the reasons for increased eosinophils in children:

  • drug allergy - a common childhood allergy to medications;
  • infections that entered the baby during intrauterine development;
  • worms;
  • skin lesions;
  • entry into the body of fungal pathogens;
  • influence on the body of staphylococci;
  • infectious vasculitis;
  • lack of the microelement magnesium in the body.

Eosinophilia in a child’s body does not require special therapy. It is necessary to remove the root cause of the pathology and the disease will go away automatically.

Treatment

To treat eosinophilia, it is necessary to begin treatment for the underlying cause of the disease.



The drug course depends on the primary source of the pathology, its scale of damage and the stage of development.
  • Vermox medication;
  • Dekaris remedy;
  • drug Vermakar.
  • medication Fenkarol;
  • medicine Pipolfen;
  • vitamin complex;
  • preparations containing iron for anemia.

To reduce the levels of eosinophilia caused by an allergic root cause, you need to be treated with antihistamines:

  • the drug Diphenhydramine;
  • Parlazin;
  • antihistamine Claritin;
  • Fenkarol.

Also for more severe allergic manifestations Hormonal medications are prescribed:

  • Prednisolone;
  • Dexamethasone.

In addition to drug therapy, infusion treatment is performed.

Infants with diathesis are prescribed ointments on the skin or creams that have an antihistamine effect and hormonal components:

  • Advantan cream;
  • Celestoderm ointment;
  • Epidel.

In order to reduce the allergic effect on the body, it is necessary to take sorbents - activated carbon.

In case of allergies to food products, it is necessary to remove from the diet those foods that cause attacks of an allergic reaction.

To treat eosinophilia in malignant neoplasms, the following groups of drugs are prescribed:

  • cytostatics;
  • hormonal drugs;
  • immunosuppressants.

The entire medication course is prescribed according to the scheme, the dosage is calculated individually by a hematologist.

To prevent infections and bacteria from entering the body, treatment is supplemented antibacterial drugs, as well as antifungal medications.

For treatment of infection and immunodeficiency eosinophilia, in addition to general therapy apply vitamin complexes And balanced diet.

Folk remedies

For therapy folk remedies secondary eosinophilia, as well as eosinopenia, fees are used medicinal herbs and drugs that are based medicinal plants.


Treating eosinophilia with raspberry tea.

In order to use traditional medicine, it is necessary to establish the root cause of the pathology. And then use medicinal plants in order to reduce or increase the concentration of eosinophils in the blood.

To treat the allergic root cause, decoctions and infusions of the following plants are used:

  • raspberry;
  • wormwood grass;
  • sage;
  • rose hip plant;
  • cabbage leaves;
  • grass succession;
  • creeping wheatgrass;
  • viburnum.

To eliminate the root cause of helminthiases, the following are used:

  • pumpkin seed kernels;
  • blue iodine solution.

Low eosinophil index - eosinopenia

A decrease in the eosinophil index is detected during a general blood test.

Root causes low index eosinophils in the blood are:

  • surgical surgical interventions into the body;
  • inflammation that occurs in chronic stage with constant relapses;
  • burns over a large area of ​​skin;
  • infections that are in the body long period time and have passed the adaptation stage;
  • intoxication of the body, especially alcohol poisoning reduces the concentration of eosinophils;
  • body overload;
  • constant stressful situations;
  • state of shock;
  • severe injuries to the body;
  • malignant oncological tumors;
  • sepsis in internal organs;
  • insomnia;
  • long-term use of corticosteroid medications.

Pregnancy and birth process can cause a decrease in the eosinophil index, as well as increase their level.

The danger of eosinophilia

The danger of this pathology is its negative consequences and in a complicated form. A complicated form of eosinophilia occurs if for a long period it is not possible to diagnose and identify the root cause of the pathology.

Complicated eosinophilia affects internal organs life support of the body:

  • brain - causing hypoxia, which leads to stroke;
  • lungs - causes oxygen starvation organ cells, which leads to pulmonary edema;
  • heart organ - provokes coronary insufficiency which can lead to ischemia of the heart muscle and myocardial infarction;
  • cause disturbances in the gastrointestinal tract and pathologies in the digestive system;
  • deviations in the functioning of all centers of the nervous system.

During pregnancy, eosinophilia can cause a number of serious complications:

  • inflammation in the kidneys - pyelonephritis;
  • inflammatory process in bladder- cystitis;
  • interruption by the body of the intrauterine formation of the fetus - fetal fading;
  • miscarriages;
  • premature birth of a child - premature baby;
  • obstructed passage of the child through the birth canal.

Prevention

Required preventive measures, preventing deviations from the norm in the eosinophil index, which provoke the development of eosinophilia pathology in the body, are aimed at preventing the occurrence of primary eosinophilia pathologies.

Prevention of diseases that provoke this disease is:

  • observe the rules of personal and intimate hygiene;
  • Be sure to wash your hands after visiting places public gathering people: after traveling on public transport, after visiting a market or store, after undergoing a preventive examination at a clinic, and so on;
  • prohibit small child take a toy picked up from the floor into your mouth, and also put your fingers into your mouth;
  • healthy lifestyle;
  • accustom the child to body hardening procedures;
  • food culture is products that are as rich in vitamins as possible, as well as cooking methods. If possible, avoid the frying method of preparing food. It is recommended, especially for children, to steam, bake and boil foods;
  • timely preventive diagnostics of the body and identification of provoking diseases initial stage their development;
  • timely treatment of diseases that can cause an increased eosinophil index, as well as a decrease in their composition in the blood plasma.

Forecast

Eosinophilia is a blood pathology that signals many diseases in the body. Eosinophilia is a marker that shows disturbances in the functioning of the immune system, or overexertion of the immune system. Even slightly increased coefficient eosinophils indicate the penetration of an infectious agent into the body.

Timely diagnosis and therapy primary diseases leads to the fact that the disease is completely cured and therefore the prognosis is favorable.

Complicated form of eosinophilia, with damage to vital important organs, as well as pathology that is provoked by oncological tumors - the prognosis in 80% of cases is unfavorable.

Eosinophilia is a blood condition in which the number of special eosinophil cells in the peripheral blood is increased to a level of 450/μl or more.

Eosinophilia may be primary (idiopathic). But most often this is not an independent disease, but a symptom of allergic, infectious, autoimmune or other diseases.

Causes

The main causes of eosinophilia are as follows:

The symptoms of eosinophilia are caused by the disease that is accompanied by this condition.

For example, eosinophilia caused by allergic and skin diseases is manifested by blisters, itching, dry skin or, conversely, weeping, up to the formation of ulcers on the skin, and detachment of the epidermis.

In autoimmune and reactive diseases, eosinophilia is often accompanied by anemia, weight loss, fever, enlarged liver and spleen, pulmonary fibrosis, congestive heart failure, inflammatory lesions veins, joint pain, multiple organ failure.

At helminthic infestations There is an increase and pain in the lymph nodes, enlargement of the liver and spleen, symptoms of general intoxication (loss of appetite), joint pain, increased heart rate, swelling, rash.

Diagnostics

If the cause of eosinophilia is not found, the patient may develop complications. With persistent or progressive eosinophilia, as well as in the absence apparent reason, a test with short-term administration of small doses of glucocorticoids is indicated.

Types of disease

Depending on the reason that caused the change in blood condition, there are:

There are 3 degrees of eosinophilia:

  • Light (400-1500x109/l, up to 10% of the total number of leukocytes)
  • Moderate (1500-5000x109/l, 10-20%)
  • Heavy (over 5000x109/l, more than 20%)

Patient Actions

Patient with acute illness and eosinophilia, or a person with a very high eosinophil count needs hospitalization and urgent evaluation of the cause of eosinophilia.

Treatment

The treatment is carried out by a hematologist. Treatment of eosinophilia is carried out depending on the type of pathology, severity, age and general condition patient. This affects the choice of drugs for the course of treatment.

In some cases, to get rid of eosinophilia, it is necessary to stop taking certain medications.

Complications

Eosinophilia can lead to organ damage. The target organs of eosinophils are the skin, lungs and organs gastrointestinal tract. Damage to the heart and nervous system may also occur.

Prevention

Prevention of eosinophlia involves preventing diseases that may be accompanied by this phenomenon. These measures include maintaining healthy image life and conduct timely diagnosis and treatment of diseases.

An increase in eosinophils in the blood (a type of leukocyte) in a child often worries parents and children. Such cells are responsible for the entire immune system as a whole, which suppresses possible deterioration health. There is an increase in eosinophils by various reasons. The pediatrician advises a complete examination as an obligatory step.

What are eosinophils

What are eosinophils needed for?

Eosinophils are a type of white blood cell. They are found in capillaries and tissues, although they arise in bone marrow a person who has traveled a long way. Occurs in human bone marrow. Eosinophils penetrate into the blood with great ease and neutralize toxic substances, and absorb harmful particles. This is the function of this type.

In general, these functions can be divided into 2 types: protective and phagocytic function. The first type, therefore, protects the body, while the inhibitor is histamine, this substance suppresses the action of the mechanism hydrochloric acid, relaxes, thereby helping the body overcome the disease. The second one catches harmful particles, neutralizes them, and turns them into protein. Due to this, the incidence of pathologies is reduced.

Therefore, it is important to bring their percentage back to normal, since its work depends precisely on this percentage, and increasing it leads to consequences.

Most often, a child has elevated eosinophils when:

  1. Allergic diseases (symptoms: runny nose, sneezing, itching).
  2. For infestations (insomnia, itching).

Such diseases can manifest themselves very easily due to infrequent hand washing and eating unwashed food. The figure is rarely 10-15%.

Eosinophil level

There are other reasons for the increase in eosinophils, due to the fact that the child’s body reacts differently to changes in nutrition, vaccinations, injections, mosquito bites and penetrates into the blood much faster compared to the body of adults. There are:

  1. With a lack of magnesium.
  2. Tumors (of any nature).
  3. Skin diseases.
  4. Infected blood.
  5. Some infections (fungal).
  6. The problem is in the endocrine system.

Reasons for increasing

The level of eosinophils may increase with urticaria and asthma.

An increase in eosinophils in the blood is called “eosinophilia” in medicine.

With this type of eosinophilia, the percentage exceeding the norm will not be so great, but will be 15%. As mentioned above, this can be observed with urticaria, diseases respiratory system. And the predominance of tissue hormones in the body, in high level. If the child is more than 1 year old and his indicator is exceeded, this indicates tuberculosis, infection with scarlet fever.

Eosinophilia. Increase in adults

Eosinophils also increase in adults. According to the practice of specialists, they accumulate in cells. The number of eosinophils in an adult should not exceed 0.3% per 109/l.

This percentage increases in the blood for common diseases - asthma, allergies, rhinitis, bronchitis, tuberculosis, in in rare cases- flu. Causes: allergies, intestinal damage, bacteria, viral diseases, negative reactions for some medical supplies, and exactly – a certain substance as part of the medicine.

They also arise due to:

When eosinophils increase, the child exhibits noticeable symptoms: an increase in temperature to 39. This condition is dangerous for the life of your baby.

Symptoms that the child does not feel:

  • Enlarged liver.
  • Heart failure.
  • Also the appearance of skin rashes, insomnia, weight loss.

How to lose excess eosinophils?

After identifying the cause of excess of the norm, the identified disease can be cured. But: first you need to undergo an examination of the whole body. The child’s body is very weak; if a foreign particle gets in, illnesses may arise, which may have consequences in the future.

If eosinophils are elevated, pathologies arise: Rhesus - conflict skin diseases, vascular diseases, malignant tumors.

It is necessary: ​​start treatment on time, and examine the child frequently in preventive plans.

Worm infestation is the reason for the increase

Diagnosis of eosinophilia

The first stage of treatment, doctors installed an ultrasound of the internal organs. Next you need to go through everything necessary tests, which will be prescribed to you by your attending physician - specialist. After the correct identification of the disease, naturally carried out medical procedures. In case of blood pathology, treatment is carried out by a hematologist, if identified infectious diseases- he’s an infectious disease doctor.

Eosinophilia is a marker of various pathologies, and during laboratory testing it is detected in the patient’s blood.

In the blood of a child’s body, this marker appears much more often than in an adult.

What are eosinophil molecules?

The standard rate of eosinophils in the blood is no more than 5.0% of the total number of leukocytes.

Eosinophils in the blood are a type of white blood cell molecule. Eosinophils get their name from the pink tint of the cytoplasm, and they are clearly visible in laboratory blood tests using microscopy techniques.

When determining in a laboratory, it is necessary to know not only the percentage ratio, but also their quantitative volume, which should not be more than 320 in one milliliter of blood plasma.

A quantitative increase in eosinophils in the blood plasma signals that the body is experiencing stress on the immune system. Neutralization of histamine in allergies relies on eosinophils, since they penetrate the localization of the pathology and reduce the effect of histamine, so their number in the blood plasma is large.

Eosinophilia

This pathology is not a primary disease, but its primary etiology; it is a very rare anomaly in the body and it occurs in oncological malignant neoplasms (cancer).

With malignant neoplasms, eosinophils appear in an abnormally increased volume in the bone marrow cells.

The etiology of the disease eosinophilia is quite broad, so the main cause of the disease can only be determined through a comprehensive laboratory clinical examination of the body, using instrumental examination of damaged organs.

Therapy for eosinophilia as an independent disease is not provided, and it is necessary to treat the pathology that provokes an increase in eosinophil molecules in the blood plasma.

ICD 10 code

According to the international classification of diseases of the tenth revision of ICD-10, this pathology belongs to class D 72.1, “Eosinophilia”, and is also classified as a secondary pathology involving the immune mechanism from code D 80 to D 89.

In some situations, the etiology cannot be determined, as with eosinophilic syndrome. High index eosinophil molecules in the syndrome remain constant, then the syndrome is classified according to the ICD - eosinophilia, and a drug therapy regimen is prescribed for it.

Standard indicators of eosinophil molecules

The norm is significantly different for an adult and a child; there are also slight differences by gender:

  • the normal index in the adult male body is 0.50% - 5.0% of the volume of all leukocytes in the blood plasma;
  • the relative norm in the female adult body is from 0.50% to 5.0%, but the difference from male indicators is that during the menstrual period these indicators deviate slightly. The first phase of the menstrual cycle - an excess of eosinophils is recorded, and after ovulation of the egg - they are reduced;
  • the standard for children from birth to 5 calendar years is 0.50% - 7.0%;
  • The normative indicator for children from 5 years of age to 14 calendar years is from 1.0% - 5.0%.

The absolute standard value for adults is 0.15-0.450X10.0⁹ per liter of blood plasma.

From the results of a general analysis of peripheral capillary blood - the pathology of hypereosinophilic syndrome indicates the value of eosinophils in the blood plasma is more than 15.0% of the total volume of leukocytes.

Eosinophilia is divided according to the level of percentage increase in eosinophil molecules in the plasma blood composition:

  • mild degree of pathology - no more than 10.0% of the total number of leukocytes;
  • degree of moderate course of the disease - from 10.0% - 20.0% of the total volume;
  • severe degree of the disease - more than 20.0% of the total concentration in the plasma of leukocytes.

General symptoms of eosinophilia pathology and why they are increased

Symptoms of the pathology of eosinophilia are determined by primary diseases that provoke an increase in eosinophils in the blood:

Symptoms of eosinophilia

With this pathology, an increase in eosinophils is observed, as well as pronounced symptoms of eosinophilia pathology:


Allergic etiology and Loeffler's syndrome

It is manifested by an excess of the normative units of eosinophils and leukocytes, and is also expressed in the following symptoms:

Gastric pathologies

In these pathologies, a high level of eosinophil molecules in the blood plasma provokes eosinophilic diseases and is expressed in the following symptoms:

  • nausea, which leads to vomiting, after eating;
  • pain in the abdomen, in the navel area;
  • prolonged diarrhea;
  • limb spasms;
  • systematic constipation;
  • jaundice;
  • increased size of the liver and its painful condition.

Symptoms of blood pathology - a provocateur of eosinophilia

Elevated levels of histiocytosis, which provokes eosinophilia, indicate a lot; the characteristic symptoms are:


Symptoms of cancer tumors with eosinophilia

With malignant tumors in the peritoneum with eosinophilia, these symptoms appear:

  • constant thirst;
  • increase in abdominal volume;
  • not intestinal functionality.

In the human nervous system

The following signs and symptoms appear on the part of the nervous system:

What test should you take? To make an initial diagnosis, it is necessary to take a general blood test. Peripheral capillary blood is suitable for this analysis.

If the CBC transcript showed high eosinophil indices, then the doctor collects anamnesis, examines the patient and makes a differential diagnosis.

The role of specialized methods of additional diagnostic studies is to establish an accurate diagnosis.

To test for eosinophilia, peripheral capillary blood is taken for a general analysis. For biochemistry, venous blood is required. All material (blood, urine, feces) for research must be freshly collected.

More information about venous blood -.

In order to obtain the most correct value of this study, it is necessary to properly prepare the body for the procedure of drawing blood and submitting urine for analysis:

  • It is recommended to donate blood in the morning on an empty stomach;
  • urine for the study of eosinophils must be collected and submitted in a sterile container;
  • Urine collection should be carried out early in the morning;
  • the last urination before collection for analysis should preferably be no less than 6 - 8 hours before this urine collection procedure;
  • before collecting biological fluid urine, you need to wash the genitals and urinary organs with water without using gel or soap;
  • correct collection of urine for general analysis - you need the first portion of urine when urinating, and the rest of it is drained, and the middle portion of urine is taken for study;
  • the last meal should be at least 12 hours before blood collection and urine collection;
  • within 48 hours before blood sampling and urine collection, follow a diet - do not eat fried, salty, fatty foods, and do not eat sweet foods;
  • do not drink alcohol in the last 48 hours before submitting the material for analysis;
  • stop smoking;
  • stop taking medications at least 7 calendar days in advance.

Eosinophilia in children's bodies

The norms for the eosinophil count differ from the birth of the child to his adulthood stage. For a newborn infant, the normative index is not higher than 8.0%, and for a 5-year-old child - 6.0%.


The etiology of eosinophilia in children is similar to the etiology of this pathology in adults.

Fluctuations in the concentration of eosinophils in the blood plasma are associated with weak immunity, which is only at the stage of formation, and the baby’s body is daily exposed to infections and the influence of allergens.

The child is faced with the root cause of allergies from the moment of birth. In its first year of life, the digestive system is formed and adapted to a variety of foods. During this period, the child’s first encounters with food allergens occur.

The child’s mucous membrane is too weak in the first years of life, and allergens affect it and provoke pathologies in the child’s body:

  • diathesis - a skin reaction to a food allergen, manifested by a rash and itching;
  • obstruction of bronchial type;
  • urticaria disease.

During this period, eosinophilia manifests itself as a secondary pathology of such diseases of the child’s body:

  • infectious scarlet fever;
  • tuberculosis;
  • infectious enterobiasis;
  • infectious giardiasis.

By the age of 2, a child’s allergies to food go away, unless the baby has a congenital allergic pathology.

When eosinophilia manifests itself in children, it is necessary to carry out a differential diagnostic technique in order to exclude from the list the root causes of this pathology, hematopoietic diseases.

What are the reasons for increased eosinophils in children:

  • drug allergy - a common childhood allergy to medications;
  • infections that entered the baby during intrauterine development;
  • worms;
  • skin lesions;
  • entry into the body of fungal pathogens;
  • influence on the body of staphylococci;
  • infectious vasculitis;
  • lack of the microelement magnesium in the body.

Eosinophilia in a child’s body does not require special therapy. It is necessary to remove the root cause of the pathology and the disease will go away automatically.

Treatment

To treat eosinophilia, it is necessary to begin treatment for the underlying cause of the disease.



The drug course depends on the primary source of the pathology, its scale of damage and the stage of development.
  • Vermox medication;
  • Dekaris remedy;
  • drug Vermakar.
  • medication Fenkarol;
  • medicine Pipolfen;
  • vitamin complex;
  • preparations containing iron for anemia.

To reduce the levels of eosinophilia caused by an allergic root cause, you need to be treated with antihistamines:

  • the drug Diphenhydramine;
  • Parlazin;
  • antihistamine Claritin;
  • Fenkarol.

Also, for more severe allergic manifestations, hormonal drugs are prescribed:

  • Prednisolone;
  • Dexamethasone.

In addition to drug therapy, infusion treatment is performed.

Infants with diathesis are prescribed ointments on the skin or creams that have an antihistamine effect and hormonal components:

  • Advantan cream;
  • Celestoderm ointment;
  • Epidel.

In order to reduce the allergic effect on the body, it is necessary to take sorbents - activated carbon.

In case of allergies to food products, it is necessary to remove from the diet those foods that cause attacks of an allergic reaction.

To treat eosinophilia in malignant neoplasms, the following groups of drugs are prescribed:

  • cytostatics;
  • hormonal drugs;
  • immunosuppressants.

The entire medication course is prescribed according to the scheme, the dosage is calculated individually by a hematologist.

To prevent infections and bacteria from entering the body, treatment with antibacterial drugs, as well as antifungal medications, is supplemented.

To combat infection and immunodeficiency eosinophilia, vitamin complexes and a balanced diet are used in addition to general therapy.

Treating eosinophilia with raspberry tea.

In order to use traditional medicine, it is necessary to establish the root cause of the pathology. And then use medicinal plants in order to reduce or increase the concentration of eosinophils in the blood.

To treat the allergic root cause, decoctions and infusions of the following plants are used:

  • raspberry;
  • wormwood grass;
  • sage;
  • rose hip plant;
  • cabbage leaves;
  • grass succession;
  • creeping wheatgrass;
  • viburnum.

To eliminate the root cause of helminthiases, the following are used:

  • pumpkin seed kernels;
  • blue iodine solution.

Low eosinophil index - eosinopenia

A decrease in the eosinophil index is detected during a general blood test.

The root causes of a low eosinophil index in the blood are:

  • surgical interventions in the body;
  • inflammations that occur in a chronic stage with constant relapses;
  • burns over a large area of ​​skin;
  • infections that have been in the body for a long period of time and have passed the adaptation stage;
  • intoxication of the body, especially alcohol poisoning reduces the concentration of eosinophils;
  • body overload;
  • constant stressful situations;
  • state of shock;
  • severe injuries to the body;
  • malignant oncological tumors;
  • sepsis in internal organs;
  • insomnia;
  • long-term use of corticosteroid medications.

Pregnancy and childbirth can cause a decrease in the eosinophil index, as well as increase their level.

The danger of eosinophilia

The danger of this pathology lies in its negative consequences and in its complicated form. A complicated form of eosinophilia occurs if for a long period it is not possible to diagnose and identify the root cause of the pathology.

Complicated eosinophilia affects the internal life-support organs of the body:

  • brain - causing hypoxia, which leads to stroke;
  • lungs - causes oxygen starvation of organ cells, which leads to pulmonary edema;
  • cardiac organ - provokes coronary insufficiency, which can lead to ischemia of the heart muscle and myocardial infarction;
  • cause disturbances in the gastrointestinal tract and pathologies in the digestive system;
  • deviations in the functioning of all centers of the nervous system.

During pregnancy, eosinophilia can cause a number of serious complications:

  • inflammation in the kidneys - pyelonephritis;
  • inflammatory process in the bladder - cystitis;
  • interruption by the body of the intrauterine formation of the fetus - fetal fading;
  • miscarriages;
  • premature birth of a child - premature baby;
  • obstructed passage of the child through the birth canal.

Prevention

Necessary preventive measures to prevent deviations from the norm in the eosinophil index, which provoke the development of eosinophilia pathology in the body, are aimed at preventing the occurrence of primary eosinophilia pathologies.

Prevention of diseases that provoke this disease is:

  • observe the rules of personal and intimate hygiene;
  • be sure to wash your hands after visiting crowded places: after traveling on public transport, after visiting a market or store, after undergoing a preventive examination at a clinic, and so on;
  • prohibit a small child from taking a toy picked up from the floor into his mouth, as well as putting his fingers in his mouth;
  • healthy lifestyle;
  • accustom the child to body hardening procedures;
  • food culture is products that are as rich in vitamins as possible, as well as cooking methods. If possible, avoid the frying method of preparing food. It is recommended, especially for children, to steam, bake and boil foods;
  • timely preventive diagnostics of the body and identification of provoking diseases at the initial stage of their development;
  • timely treatment of diseases that can cause an increased eosinophil index, as well as a decrease in their composition in the blood plasma.

Forecast

Eosinophilia is a blood pathology that signals many diseases in the body. Eosinophilia is a marker that shows disturbances in the functioning of the immune system, or overexertion of the immune system. Even a slightly increased eosinophil ratio indicates penetration of an infectious agent into the body.

Timely diagnosis and treatment of primary diseases leads to the fact that the disease is completely cured and therefore the prognosis is favorable.

A complicated form of eosinophilia, with damage to vital organs, as well as pathology that is provoked by oncological tumors - the prognosis in 80% of cases is unfavorable.



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