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Immune reconstitution eosinophilia due to schistosomiasis
  1. R Fernando1,
  2. R Miller2
  1. 1Department of GU Medicine, New Cross Hospital, Wolverhampton WV10 0RP, UK
  2. 2Department of Sexually Transmitted Diseases, Royal Free and University College Medical School, Mortimer Market Centre, Mortimer Market, Off Capper Street, London WC1E 6AU, UK
  1. Correspondence to:
 Dr Miller;
 rmiller{at}gum.ucl.ac.uk

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A 21 year old black African heterosexual woman, formerly resident in south east Africa, presented in early October 2000 on arrival in the United Kingdom. Examination revealed hepatosplenomegaly. Investigation showed Hb = 10.2 g/dl, WBC = 2.9 × 109/l (neutrophils = 1.5, lymphocytes = 0.8, and eosinophils = 0.3 × 109/l). Blood urea and electrolytes were normal. Liver function tests showed alkaline phosphatase = 1704 (normal = 45–122) U/l, and alanine transaminase = 65 (normal = 7–63) U/l. Hepatitis A and C serology was negative; hepatitis B serology showed sAg negative …

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