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Case report
Idiopathic hypereosinophilic syndrome presenting as monoplegia
  1. Saraswati Kushwah1,
  2. Manisha Gulia1,
  3. Monica Gupta1 and
  4. Anita Tahlan2
  1. 1 Department of General Medicine, Government Medical College and Hospital, Chandigarh, India
  2. 2 Department of Pathology, Government Medical College and Hospital, Chandigarh, India
  1. Correspondence to Professor Monica Gupta; monicamanish2001{at}


Idiopathic hypereosinophilic syndrome (IHES) is a rare disorder. It is characterised by persistent eosinophilia with eosinophil mediated tissue infiltration and organ dysfunction. Clinical features of IHES vary widely, as it may present with dermatological, pulmonary, gastrointestinal, cardiac or neurological symptoms. We hereby report a female patient who presented with sudden onset upper limb monoplegia and after thorough investigations she was diagnosed as a case of IHES. She was managed with corticosteroids and improved with same.

  • stroke
  • haematology (incl blood transfusion)
  • medical management

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  • Contributors All the authors have provided substantial contributions in the clinical management of the case and literature review on the topic in question. SK and MaG have drafted the manuscript and MoG and AT have revised it critically for important intellectual content. All the authors have read the final version and approved it. All the authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.