Clopidogrel-induced Eosinophilia with Hypercalcemia

Intern Med. 2022 Sep 1;61(17):2681-2685. doi: 10.2169/internalmedicine.7830-21. Epub 2022 Feb 8.

Abstract

There are few cases describing the association of eosinophilia with hypercalcemia, and drug-induced eosinophilia with hypercalcemia has not been reported. A 74-year-old man had been diagnosed with asthma 4 months earlier. He was admitted due to eosinophilia with hypercalcemia. Chest computed tomography showed a nodule in the left lung and mediastinal lymphadenopathy. By obtaining a detailed medical history, clopidogrel was suspected as the prime cause of eosinophilia. After the discontinuation of clopidogrel, the eosinophilia with hypercalcemia, lung nodule and mediastinal lymphadenopathy improved. Clopidogrel-induced eosinophilia can potentially cause hypercalcemia. Obtaining a detailed clinical history is important in diagnosing the cause of eosinophilia.

Keywords: clopidogrel; drug-induced eosinophilia; eosinophilia; hypercalcemia.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Clopidogrel / adverse effects
  • Eosinophilia* / complications
  • Humans
  • Hypercalcemia* / chemically induced
  • Hypercalcemia* / complications
  • Lymphadenopathy* / complications
  • Male
  • Mediastinal Diseases*

Substances

  • Clopidogrel