PMID- 11143821 OWN - NLM STAT- MEDLINE DCOM- 20001228 LR - 20181130 IS - 0004-4849 (Print) IS - 0004-4849 (Linking) VI - 92 IP - 4-8 DP - 2000 Apr-Aug TI - Excellent response to interferon therapy in a patient with hypereosinophilic syndrome and elevated serum immunoglobulin E levels. PG - 59-62 AB - The hypereosinophilic syndrome (HES) is a heterogeneous disease characterized by sustained eosinophilia for a period of at least six months with evidence of organ involvement. Its manifestations range from a benign disorder not requiring any therapy to an aggressive, malignant variety refractory to common treatments. Diverse therapies have been used, including steroids, hydroxyurea, and chemotherapy, with variable responses. Recently alpha-interferon therapy has been shown effective in this disorder. Of the various prognostic factors, elevated serum immunoglobulin E (IgE) levels is considered among the most favorable, with most patients presenting with a "benign" disorder, not requiring therapy. We describe a patient presenting with an aggressive variant of HES despite having elevated IgE levels. The patient had a dramatic and lasting response to alpha-interferon. FAU - Acaba, L AU - Acaba L AD - Hematology-Medical Oncology Section, Department of Medicine, University of Puerto Rico School of Medicine, PO Box 365067, San Juan, PR 00936-5067. FAU - Mangual, A AU - Mangual A FAU - Velez Garcia, E AU - Velez Garcia E LA - eng PT - Case Reports PT - Journal Article PL - Puerto Rico TA - Bol Asoc Med P R JT - Boletin de la Asociacion Medica de Puerto Rico JID - 7505267 RN - 0 (Antineoplastic Agents) RN - 0 (Interferon alpha-2) RN - 0 (Interferon-alpha) RN - 0 (Recombinant Proteins) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Antineoplastic Agents/*therapeutic use MH - Drug Resistance MH - Humans MH - Hypereosinophilic Syndrome/blood/diagnosis/*drug therapy MH - Immunoglobulin E/blood MH - Interferon alpha-2 MH - Interferon-alpha/*therapeutic use MH - Male MH - Recombinant Proteins EDAT- 2001/01/06 11:00 MHDA- 2001/02/28 10:01 CRDT- 2001/01/06 11:00 PHST- 2001/01/06 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2001/01/06 11:00 [entrez] PST - ppublish SO - Bol Asoc Med P R. 2000 Apr-Aug;92(4-8):59-62.