A 43-year-old patient presenting with marked eosinophilia and multisystem disease

Abstract

A 43-year-old male developed progressive dyspnoea and swelling of both lower limbs over a period of 1 month. He also noticed left foot drop 1 month previously and weakness of both hands and legs over a period of 3 weeks. He had anorexia for the last 6 months and had lost 12 kg of weight over the last 1 year. He had no chest pain, haemoptysis, fever, syncope or palpitations. He had a history of asthma for the last 5 years. There was no history of allergic rhinitis, diabetes, hypertension or ischaemic heart disease and he was a non-smoker.