Löffler syndrome

Changed by Henry Knipe, 15 Mar 2016

Updates to Article Attributes

Body was changed:

Simple pulmonary eosinophilia (also known as Löffler syndrome) is a type of pulmonary eosinophilia that typically typically presents with transient radiographic infiltrates, minimal constitutional upset and an elevated eosinophil count in peripheral blood.

Pathology

Causes

Usually the cause is not identified but a number of allergens have been linked to the syndrome.

  • parasites (ascaris, strongyloides, ankylostoma)
  • drugs (aspirin, penicillin)

Radiographic features 

Plain film - chest radiograph / HRCTCT

There is often a fleeting type transient non segmental air space opacification which may be unilateral or bilateral. Usually has predominantly peripheral distribution. Pleural effusions and lymphadenopathy is not a feature.

Complications

A restrictive type cardiomyopathy can develop from endomyocardial fibrosis.

Treatment and prognosis 

The condition is usually self-limiting and treated conservatively.  OpacitiesOpacities typically resolve within a month 3,5.

Complications

A restrictive type cardiomyopathy can develop from endomyocardial fibrosis.

History and etymology 

Named afterWilhelm Löffler - Swiss, Swiss physician (1887-1972), who first described the case histories of patients with chest radiographic infiltrates in 1932.

Differential diagnosis

General imaging differential considerations include

  • -<p><strong>Simple pulmonary eosinophilia</strong> (also known as <strong>Löffler syndrome</strong>) is a type of <a href="/articles/eosinophilic_pneumonia">pulmonary eosinophilia</a> that typically presents with transient radiographic infiltrates, minimal constitutional upset and an elevated eosinophil count in peripheral blood.</p><h4>Pathology</h4><h5>Causes</h5><p>Usually the cause is not identified but a number of allergens have been linked to the syndrome.</p><ul>
  • +<p><strong>Simple pulmonary eosinophilia</strong> (also known as <strong>Löffler syndrome</strong>) is a type of <a href="/articles/eosinophilic_pneumonia">pulmonary eosinophilia</a> that typically presents with transient radiographic infiltrates, minimal constitutional upset and an elevated eosinophil count in peripheral blood.</p><h4>Pathology</h4><h5>Causes</h5><p>Usually the cause is not identified but a number of allergens have been linked to the syndrome.</p><ul>
  • -</ul><h4>Radiographic features </h4><h5>Plain film - chest radiograph / HRCT</h5><p>There is often a fleeting type transient non segmental air space opacification which may be unilateral or bilateral. Usually has predominantly peripheral distribution. Pleural effusions and lymphadenopathy is not a feature.</p><h5>Complications</h5><p>A restrictive type cardiomyopathy can develop from <a href="/articles/endomyocardial-fibrosis">endomyocardial fibrosis</a>.</p><h4>Treatment and prognosis </h4><p>The condition is usually self-limiting and treated conservatively.  Opacities typically resolve within a month <sup>3,5</sup>.</p><h4>History and etymology </h4><p>Named after <strong>Wilhelm Löffler</strong> - Swiss physician (1887-1972) who first described the case histories of patients with chest radiographic infiltrates in 1932.</p><h4>Differential diagnosis</h4><p>General imaging differential considerations include</p><ul>
  • +</ul><h4>Radiographic features </h4><h5>Plain radiograph / CT</h5><p>There is often a fleeting type transient non segmental air space opacification which may be unilateral or bilateral. Usually has predominantly peripheral distribution. Pleural effusions and lymphadenopathy is not a feature.</p><h4>Treatment and prognosis </h4><p>The condition is usually self-limiting and treated conservatively. Opacities typically resolve within a month <sup>3,5</sup>.</p><h5>Complications</h5><p>A restrictive type cardiomyopathy can develop from <a href="/articles/endomyocardial-fibrosis">endomyocardial fibrosis</a>.</p><h4>History and etymology </h4><p>Named after <strong>Wilhelm Löffler</strong>, Swiss physician (1887-1972), who first described the case histories of patients with chest radiographic infiltrates in 1932.</p><h4>Differential diagnosis</h4><p>General imaging differential considerations include</p><ul>
  • -<li><a href="/articles/pulmonary-haemorrhage">pulmonary haemorrhage </a></li>
  • +<li><a href="/articles/pulmonary-haemorrhage">pulmonary haemorrhage </a></li>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.