Skip to main content

Box 7 Key differentiating features between HES and EGPA in patients with hypereosinophilic asthma and systemic manifestations

From: French guidelines for the etiological workup of eosinophilia and the management of hypereosinophilic syndromes

 

ANCA-positive EGPA

ANCA-negative EGPA

HES

ANCA

Positive (almost exclusively MPO)

Absent

Absent

Asthma

Present

Present

Possible

Cardiac involvement

Rare

Common

Possible

Extra-capillary glomerulonephritis

Possible

Absent

Absent

Alveolar hemorrhage

Possible

Absent

Absent

Peripheral neurological presentation

Predominantly single or multiple mononeuropathy

Predominantly polyneuropathy

Predominantly polyneuropathy

Scleritis

Possible

Absent

Absent

Vasculitis

Present

Present

Possible

CRP

Elevated

Variable

Low (except for thrombosis and severe eosinophilic myocarditis)