Case 18-1992

Presentation of Case A 52-year-old man was admitted to the hospital because of asthma, peripheral neuropathy, and eosinophilia. There was a long history of recurrent sinusitis and nasal polyposis. Three years before entry bronchial asthma developed and was triggered by upper respiratory tract infections and cold weather. Extracts of allergens were injected during the one or two years before entry. Four months before admission dyspnea and right-sided chest pain appeared, accompanied by paresthesias in the fingers of both hands. The patient was admitted to another hospital, where he was found to have atrial fibrillation. The white-cell count was 11,000 (11 . . .