Case Report

Non-L-Tryptophan Related Eosinophilia-Myalgia Syndrome with Hypoproteinemia and Hypoalbuminemia

LEON MARGOLIN

ABSTRACT.

Eosinophilia-myalgia syndrome (EMS) has been associated with L-tryptophan use since 1989; of the 1345 EMS cases reported, 191 (14%) were not related to the use of L-tryptophan. A case is described of non-L-tryptophan related EMS associated with transient hypoproteinemia and hypoalbuminemia that resolved with prednisone treatment. (J Rheumatol 2003;30:628-9)

Key Indexing Terms:

EOSINOPHILIA-MYALGIA SYNDROME
L-TRYPTOPHAN
HYPOPROTEINEMIA
HYPOALBUMINEMIA

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From the Department of Medicine, Rabin Medical Center, Petah Tiqva, Israel.

L. Margolin, MD, PhD.

Address reprint requests to Dr. L. Margolin, Rotenshraih 18/27, Tel Aviv, Israel. E-mail: leon3087@yahoo.com

Submitted March 5, 2002; revision accepted August 23, 2002.

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