Affiliations 

  • 1 Franklin A. Neva, MD. Laboratories of Parasitic Diseases and Clinical Investigation of Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland. 20014
  • 2 Allen P Kaplan, MD. Laboratories of Parasitic Diseases and Clinical Investigation of Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland. 20014
  • 3 Guillermo Pacheco, PhD. Laboratories of Parasitic Diseases and Clinical Investigation of Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland. 20014
  • 4 Linda Gray, BS. Laboratories of Parasitic Diseases and Clinical Investigation of Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland. 20014
  • 5 T. J. Danaraj, MD. Professor of Medicine, University of Malaya, Kuala Lumpur, Malaysia
J. Allergy Clin. Immunol., 1975 Jun;55(5):422-9.
PMID: 1138016

Abstract

The diverse clinical syndromes characterized by asthmatic symptoms, transient pulmonary infiltrates, and eosinophilia have tended to obscure the specific association of one such entity with filarial infections. Serum IgE levels were determined before and after therapy in a group of well-characterized patients with tropical eosinophilia (TE), studied earlier in Singapore. The mean serum IgE level in 14 cases before treatment with diethylcarbamazine was 2,355 ng. per milliliter, with a trend but statistically nonsignificant decrease in levels to 600-1,000 ng. occurring 8 to 12 weeks after therapy. Leukocyte and eosinophil counts showed a rapid reduction after treatment, and although mean complement-fixing (cf) titers to Dirofilarial antigen tended to decrease, they were not significantly reduced until 5 to 6 weeks. The historical development of evidence supporting the filarial etiology of TE was reviewed. Many basic questions engendered by the clinical syndrome of tropical eosinophilia make it an excellent model for study of the immunopathology of parasitic infections.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.