TY - JOUR T1 - Eosinophils and effusion: a clinical conundrum JF - Breathe JO - Breathe SP - e109 LP - e113 DO - 10.1183/20734735.008917 VL - 13 IS - 4 AU - Ruth Sobala AU - Kevin Conroy AU - Hilary Tedd AU - Salem Elarbi Y1 - 2017/12/01 UR - http://breathe.ersjournals.com/content/13/4/e109.abstract N2 - A 60-year-old civil servant presented to the respiratory department with a 4-week history of dry cough, dyspnoea, rigours and malaise. She was a nonsmoker with a past medical history of well-controlled asthma, diagnosed 30 years previously. She had no pets. Medication consisted of a salbutamol inhaler only. On examination, chest sounds were vesicular and a general inspection was normal. She had no rashes, evidence of arthropathy or focal neurology. Routine blood tests revealed an eosinophilia of 9×109 eosinophils per L and a C-reactive protein concentration of 106 mg⋅L−1. Chest radiography and cross-sectional computed tomography (CT) imaging demonstrated consolidation of the right lower lobe with a moderate-sized pleural effusion (figures 1–3).Can you diagnose this eosinophilic patient with a pleural effusion? http://ow.ly/8G1530dJdbZ ER -