Abstract
A 56-year-old man with no past medical history presented with dry cough and dyspnea. He was given antibiotics and bronchodilators which did not improve his symptoms. Three years after the initial symptoms began, he developed persistent hypereosinophilia with an absolute eosinophil count as high as 2250 cells/uL. Prednisone (40 mg daily) was initially helpful, but his symptoms returned once the drug was tapered. Subsequently, he developed new myalgias, arthralgias, joint swelling, hives, and polycyclic purpuric plaques with hemorrhagic zones and erythema on his trunk and extremities (Figs 1 and 2).
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