Successful treatment of chronic eosinophilic pneumonia with anti-IgE therapy

J Korean Med Sci. 2012 Oct;27(10):1261-4. doi: 10.3346/jkms.2012.27.10.1261. Epub 2012 Oct 2.

Abstract

Anti-IgE therapy, using recombinant humanized anti-IgE antibodies, is clinically effective in patients with eosinophil-related disorders such as allergic asthma, allergic rhinitis, and chronic urticaria. Chronic eosinophilic pneumonia tends to respond promptly to systemic corticosteroid therapy, however; relapses are common following corticosteroid tapering. We treated two patients (17- and 19-yr-old males) of chronic eosinophilic pneumonia whose symptoms were cough and dyspnea on exertion. The symptoms were recurrent while tapering off corticosteroid. They were treated with anti-IgE antibody without recurrence for 2 yr and 15 months. Here, we first describe clinical experience of the 2 cases of chronic eosinophilic pneumonia.

Keywords: Anti-IgE Therapy; Chronic Eosinophilic Pneumonia.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adrenal Cortex Hormones / therapeutic use
  • Antibodies, Anti-Idiotypic / therapeutic use*
  • Cough / etiology
  • Dyspnea / etiology
  • Humans
  • Male
  • Pulmonary Eosinophilia / diagnosis
  • Pulmonary Eosinophilia / diagnostic imaging
  • Pulmonary Eosinophilia / therapy*
  • Tomography, X-Ray Computed
  • Young Adult

Substances

  • Adrenal Cortex Hormones
  • Antibodies, Anti-Idiotypic
  • anti-IgE antibodies