Loefflers syndrome history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]

Overview

The majority of patients with Löffler syndrome generally presents as a mild syndrome which spontaneously resolves after 2-4 weeks. The symptoms of Löffler syndrome usually develop 10-16 days after ingestion of Ascaris eggs, or N americanus, A duodenale, S stercoralis infection, and start with common symptoms such as fever, malaise, cough, wheezing, and dyspnea. Cough is the most common symptom, which is generally dry and nonproductive but might be productive or even present with small amounts of blood-tinged mucoid sputum. Less common symptoms of Löffler syndrome include myalgia, anorexia, and urticaria. In order to identify risk factors for exposure to parasites, immigration status, socioeconomic status, hygiene, sanitation, as well as travel history should be carefully elicited.

History and Symptoms

• The majority of patients with Löffler syndrome generally presents as a mild syndrome which spontaneously resolves after 2-4 weeks.
• .The symptoms of Löffler syndrome usually develop 10-16 days after ingestion of Ascaris eggs, or N americanus, A duodenale, S stercoralis infection, and start with common symptoms such as fever, malaise, cough, wheezing, and dyspnea.

History

In order to identify risk factors for exposure to parasites, immigration status, socioeconomic status, hygiene, sanitation, as well as travel history should be carefully elicited.

Patients with [disease name]] may have a positive history of:

• Travel to the endemic areas of parasites like humid tropical countries
• Immigration from the underdeveloped countries
• Low socioeconomic status
• living in an area with limited sanitation and irrigation
• Camping and other recreational activities

Common Symptoms

Cough is the most common symptom, which is generally dry and nonproductive but might be productive or even present with small amounts of blood-tinged mucoid sputum.

• Chest pain
• Dry cough
• Fever
• General ill feeling
• Rapid respiratory rate
• Rash
• Shortness of breath
• Wheezing

Symptomatic patients most often complain of an irritating, nonproductive cough and burning substernal discomfort that is aggravated by coughing or deep breathing. Dyspnea, wheezing, fever, and blood-tinged sputum containing eosinophil-derived Charcot-Leyden crystals may also be present.

Less Common Symptoms

Less common symptoms of Löffler syndrome include:

• Myalgia
• Anorexia,
• Urticaria

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