A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangement

Eosinophilia is a common finding in the pediatric age group. While the majority of mild eosinophilia cases are benign and due to reactive causes, persistent hypereosinophilia is uncommon and requires prompt clinical evaluation because of the potential risk of end-organ damage associated with it. Giv...

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Main Authors: Abdul Wajid Moothedath, Debasish Sahoo, Rachna Seth, Jagdish Prasad Meena, Aditya Kumar Gupta
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=5;spage=752;epage=755;aulast=Moothedath
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author Abdul Wajid Moothedath
Debasish Sahoo
Rachna Seth
Jagdish Prasad Meena
Aditya Kumar Gupta
author_facet Abdul Wajid Moothedath
Debasish Sahoo
Rachna Seth
Jagdish Prasad Meena
Aditya Kumar Gupta
author_sort Abdul Wajid Moothedath
collection DOAJ
description Eosinophilia is a common finding in the pediatric age group. While the majority of mild eosinophilia cases are benign and due to reactive causes, persistent hypereosinophilia is uncommon and requires prompt clinical evaluation because of the potential risk of end-organ damage associated with it. Given the broad differential diagnoses of eosinophilia, it is essential to have a systematic approach to the evaluation of unexplained eosinophilia in children. Here, we discuss the case of a 2-year-old child who presented with very high eosinophil counts. A systematic workup of the case helped us in arriving at a rare diagnosis of platelet-derived growth factor receptor-beta (PDGFRB)-rearranged clonal eosinophilia. Identification of such an entity is important as it has therapeutic implications, and early recognition helps in preventing associated end-organ damage by instituting appropriate therapy. Such cases of eosinophilia associated with platelet-derived growth factor receptor-alpha and PDGFRB rearrangement respond dramatically to imatinib.
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issn 0971-5851
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language English
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-e537b8dc372a4cec980a21f34a6bd01a2025-08-20T03:11:49ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292020-01-0141575275510.4103/ijmpo.ijmpo_259_20A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangementAbdul Wajid MoothedathDebasish SahooRachna SethJagdish Prasad MeenaAditya Kumar GuptaEosinophilia is a common finding in the pediatric age group. While the majority of mild eosinophilia cases are benign and due to reactive causes, persistent hypereosinophilia is uncommon and requires prompt clinical evaluation because of the potential risk of end-organ damage associated with it. Given the broad differential diagnoses of eosinophilia, it is essential to have a systematic approach to the evaluation of unexplained eosinophilia in children. Here, we discuss the case of a 2-year-old child who presented with very high eosinophil counts. A systematic workup of the case helped us in arriving at a rare diagnosis of platelet-derived growth factor receptor-beta (PDGFRB)-rearranged clonal eosinophilia. Identification of such an entity is important as it has therapeutic implications, and early recognition helps in preventing associated end-organ damage by instituting appropriate therapy. Such cases of eosinophilia associated with platelet-derived growth factor receptor-alpha and PDGFRB rearrangement respond dramatically to imatinib.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=5;spage=752;epage=755;aulast=Moothedathchildreneosinophiliahypereosinophiliaimatinibplatelet-derived growth factor receptor-beta
spellingShingle Abdul Wajid Moothedath
Debasish Sahoo
Rachna Seth
Jagdish Prasad Meena
Aditya Kumar Gupta
A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangement
Indian Journal of Medical and Paediatric Oncology
children
eosinophilia
hypereosinophilia
imatinib
platelet-derived growth factor receptor-beta
title A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangement
title_full A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangement
title_fullStr A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangement
title_full_unstemmed A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangement
title_short A report of an unusual case of pediatric eosinophilia associated with platelet-derived growth factor receptor-beta rearrangement
title_sort report of an unusual case of pediatric eosinophilia associated with platelet derived growth factor receptor beta rearrangement
topic children
eosinophilia
hypereosinophilia
imatinib
platelet-derived growth factor receptor-beta
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=5;spage=752;epage=755;aulast=Moothedath
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