Eosinophilic Lung Disease - It’s a Thing
From Episode 175 on the Medicine stream. With Prof Lynelle Johnson.
Confession: I’d heard of the term eosinophilic lung disease, but I thought it was some rare condition that dogs get in other countries where they struggle with lots of lungworm, and maybe fungal diseases. Apparently I was wrong, as we learnt from Prof Johnson in this episode. Here are some key things to know, for anyone else with the same gaps in their knowledge:
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Prof Johnson says that of the cases they work up for chronic coughing, about 15% have eosinophilic lung disease.
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It can be nasty, with serious cases looking over much like pneumonia.
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Lung rads can look very much like cancer.
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You can reliably diagnose it with a transtracheal wash - no need for BAL.
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And despite how severe they can be - you can usually totally fix them with pred. Like - cure it. (Lots of pred, for quite a long time, but still.)
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