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Hypereosinophilic syndrome complicated by myelofibrosis]
Authors:S Okabe  N Yahata  T Tauchi  M Otawa  O Iwase  K Toyama  K Ohyashiki  H Serizawa  Y Ebihara
Institution:First Department of Internal Medicine, Tokyo Medical University.
Abstract:Hypereosinophilic syndrome (HES) with myelofibrosis was diagnosed in a 36-year-old man on the basis of bone marrow biopsy findings and clinical features. Although the patient was treated with steroid (1 mg/kg), hydroxyurea, and immunosuppressive therapy, eosinophilia persisted. Patients with HES and myelofibrosis are usually unresponsive to antineoplastic agents and/or immunosuppressants. However, cyclosporin may be an effective alternative for such patients.
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